Individual
MR. MARVIN RAY BRACE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
217 W 5TH AVE STE 7, STILLWATER, OK 74074-4056
(405) 743-1968
(405) 743-1595
Mailing address
217 W 5TH AVE STE 7, STILLWATER, OK 74074-4056
(405) 743-1968
(405) 743-1595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161
OK
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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