SHAWNA S ELLICK

GROVE, OK
NPI1619189545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- SHAWNA S ELLICK BS
1115 HARBER ROAD
GROVE, OK 74344
Phone number: 918-786-4434
Mailing Address
-- SHAWNA S ELLICK BS
P.O. BOX 451385
GROVE, OK 74345
Phone number: 918-786-4434