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Individual

DR. LAURA VAEZEY ROETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, LADC, CTRS

Contact information

Practice address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
(918) 682-0801
Mailing address
324 N F, MUSKOGEE, OK 74403-4140
(918) 682-7210
(918) 682-0801

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
49
OK

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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