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1720585193
SHANNON J MALLAM
OKLAHOMA CITY, OK
NPI
1720585193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-04-11
Last Update Date
2018-10-01
Business Address
SHANNON J MALLAM
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5108
Phone number: 405-424-7711
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Mailing Address
SHANNON J MALLAM
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5108
Phone number: 405-422-8800
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