SHANNON LEE DIGIOVANNI

EDMOND, OK
NPI1700492774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2020-09-16
Last Update Date2020-09-16
Business Address
SHANNON LEE DIGIOVANNI
13707 FAIRHILL AVE
EDMOND, OK 73013-1946
Phone number: 405-607-4041
Mailing Address
SHANNON LEE DIGIOVANNI
13707 FAIRHILL AVE
EDMOND, OK 73013-1946
Phone number: 405-607-4041