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1376947945
SHELLY GOODWIN
ATOKA, OK
NPI
1376947945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-10
Last Update Date
2014-10-10
Business Address
-- SHELLY GOODWIN
303 E COURT ST
ATOKA, OK 74525-2047
Phone number: 580-889-4717
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Mailing Address
-- SHELLY GOODWIN
1414 S WALKER DR
ATOKA, OK 74525-3610
Phone number: 580-239-9032
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