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Individual

STACEY K MARCHINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
10620 NW 39TH ST, YUKON, OK 73099-6000
(405) 323-2868
Mailing address
10620 NW 39TH ST, YUKON, OK 73099-6000
(405) 323-2868

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1989
OK

Other

Enumeration date
10/06/2010
Last updated
10/06/2010
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