JEAN NMN ABOUGHAZALE

SHAWNEE, OK
NPI1700561693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-06-19
Last Update Date2023-11-15
Business Address
JEAN NMN ABOUGHAZALE
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
Mailing Address
JEAN NMN ABOUGHAZALE
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844