STACI N SHANNON

TULSA, OK
NPI1174261366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies104100000X Social Worker
Enumeration Date2022-05-26
Last Update Date2022-08-12
Business Address
Ms. STACI N SHANNON BS
3712 E 11TH ST
TULSA, OK 74112-3952
Phone number: 918-834-4194
Mailing Address
Ms. STACI N SHANNON BS
3712 E 11TH ST
TULSA, OK 74112-3952
Phone number: 918-834-4194