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1093038895
LA SHAWN MARIE UNDERWOOD
OKLAHOMA CITY, OK
NPI
1093038895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 6225)
Enumeration Date
2010-03-08
Last Update Date
2018-03-19
Business Address
LA SHAWN MARIE UNDERWOOD MHR, LPC
5120 N SANTA FE AVE STE C
OKLAHOMA CITY, OK 73118-7510
Phone number: 405-529-6331
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Mailing Address
LA SHAWN MARIE UNDERWOOD MHR, LPC
1901 NW 174TH ST
EDMOND, OK 73012-7068
Phone number: 405-529-6331
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