| Stacey Marsh Llc | |
|
6805 Rivergate Ln Oklahoma City OK 73132-3904 | |
| (405) 401-9428 | |
| Not Available |
| Full Name | Stacey Marsh Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6805 Rivergate Ln, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Stacey L. Marsh (OWNER) |
| Authorized Official Contact | 4054019428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Marsh Llc 6805 Rivergate Ln Oklahoma City OK 73132-3904 Ph: (405) 401-9428 | Stacey Marsh Llc 6805 Rivergate Ln Oklahoma City OK 73132-3904 Ph: (405) 401-9428 |
| NPI Number | 1871892638 |
|---|---|
| Provider Enumeration Date | 03/19/2011 |
| Last Update Date | 03/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871892638 | NPI | - | NPPES |
| 1760671630 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3342 (Oklahoma) | Primary |
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