Individual
ANDREA M MACIULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 W 5TH AVE, SUITE 7, STILLWATER, OK 74074-4056
(405) 743-1968
Mailing address
217 W 5TH AVE, SUITE 7, STILLWATER, OK 74074-4056
(405) 743-1968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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