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Individual

MARCELLA BEAUMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
4806 N PERKINS RD STE 3, STILLWATER, OK 74075-1701
(405) 714-7160
Mailing address
4806 N PERKINS RD STE 3, STILLWATER, OK 74075-1701
(405) 714-7160

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/12/2021
Last updated
07/12/2021
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