MITCHELL GENE DESHAZER

SHAWNEE, OK
NPI1700303575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2017-08-23
Last Update Date2017-08-23
Business Address
Mr. MITCHELL GENE DESHAZER
624 W INDEPENDENCE ST STE 113-115
SHAWNEE, OK 74804-4306
Phone number: 405-585-6413
Mailing Address
Mr. MITCHELL GENE DESHAZER
624 W INDEPENDENCE ST STE 113-115
SHAWNEE, OK 74804-4306
Phone number: 405-585-6413