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1265706428
SHELLY M SELF
ARDMORE, OK
NPI
1265706428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-05
Last Update Date
2015-10-09
Business Address
-- SHELLY M SELF LPC
301 W MAIN ST STE 324
ARDMORE, OK 73401-6337
Phone number: 580-238-0506
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Mailing Address
-- SHELLY M SELF LPC
704 SHIRLEY LN
MADILL, OK 73446-9772
Phone number: 580-238-0506
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