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1578657904
SUSAN ANN SHAW
FORT SILL, OK
NPI
1578657904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WY 490)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
SUSAN ANN SHAW LCSW
4301 MOW-WAY ROAD REYNOLDS ARMY COMMUNITY HOSPITAL
FORT SILL, OK 73505-6300
Phone number: 580-458-2134
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Mailing Address
SUSAN ANN SHAW LCSW
501 SE 135
LAWTON, OK 73501-3241
Phone number: 580-581-0273
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