Stacie Nixon

NPI #1619171253 in Alva, Oklahoma

Provider Information

NPI Number: 1619171253
Entity Type: Individual
Name: Stacie Nixon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 429 BARNES ST
City: Alva
State: Oklahoma
ZIP Code: 73717
Phone: (580) 327-0565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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