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1154178010
KERRI RENAE SHAW
BROKEN ARROW, OK
NPI
1154178010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK LPCCANDIDATE11572)
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
KERRI RENAE SHAW
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-382-7300
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Mailing Address
KERRI RENAE SHAW
4103 S YALE AVE STE B
TULSA, OK 74135-6002
Phone number: 918-382-7300
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