Organization
STACEY MARSH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY L. MARSH MED, LPC (OWNER)
(405) 401-9428
Entity
Organization
Contact information
Practice address
6805 RIVERGATE LN, OKLAHOMA CITY, OK 73132-3904
(405) 401-9428
Mailing address
6805 RIVERGATE LN, OKLAHOMA CITY, OK 73132-3904
(405) 401-9428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3342
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760671630
—
OK
Enumeration date
03/19/2011
Last updated
03/19/2011
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