SCOTT SHANNON

MIAMI, OK
NPI1114299872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2012-01-27
Last Update Date2012-01-27
Business Address
SCOTT SHANNON BHRS
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
Mailing Address
SCOTT SHANNON BHRS
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number:
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