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1265842793
SHAWNDA RENEE WOODARD
MCALESTER, OK
NPI
1265842793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
-- SHAWNDA RENEE WOODARD
628 E CREEK AVE
MCALESTER, OK 74501-6930
Phone number: 918-421-3500
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Mailing Address
-- SHAWNDA RENEE WOODARD
PO BOX 1404
MCALESTER, OK 74502-1404
Phone number: 918-421-3500
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