SHANNON DESERAE NICK

OKLAHOMA CITY, OK
NPI1487893871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-02-10
Last Update Date2009-02-10
Business Address
-- SHANNON DESERAE NICK
105 SE 45TH ST
OKLAHOMA CITY, OK 73129-3201
Phone number: 405-632-1900
Mailing Address
-- SHANNON DESERAE NICK
105 SE 45TH ST
OKLAHOMA CITY, OK 73129-3201
Phone number: 405-632-1900
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