Laci Campbell, Inc. | |
1409 S Main St Stillwater OK 74074-5836 | |
(405) 533-1222 | |
(405) 533-5422 |
Full Name | Laci Campbell, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 1409 S Main St, Stillwater, Oklahoma |
Authorized Official Name and Position | Laci Jolee Campbell (MANAGER) |
Authorized Official Contact | 4057422943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Laci Campbell, Inc. 344176 E. 5000 Rd. Pawnee OK 74058 Ph: (405) 742-2943 | Laci Campbell, Inc. 1409 S Main St Stillwater OK 74074-5836 Ph: (405) 533-1222 |
NPI Number | 1063813392 |
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Provider Enumeration Date | 09/05/2014 |
Last Update Date | 09/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063813392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3563 (Oklahoma) | Primary |
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