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Stacy Wallace, NCC

NPI 1003249848 · on the registry since 2013

Practice

Address
540 Illinois St
Pawnee, OK 74058
Phone
(918) 762-1045
Organisation at this address
Chi Inc
Creoks Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2013-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma