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1144506684
SYLVIA "SHERRY" CHARISSE SMITH
SHAWNEE, OK
NPI
1144506684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-28
Last Update Date
2011-10-28
Business Address
Mrs. SYLVIA "SHERRY" CHARISSE SMITH MHR
499 HARDESTY DR
SHAWNEE, OK 74804-1134
Phone number: 405-395-9121
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Mailing Address
Mrs. SYLVIA "SHERRY" CHARISSE SMITH MHR
499 HARDESTY DR
SHAWNEE, OK 74804-1134
Phone number: 405-395-9121
Copy
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