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1912315391
SHANNON JENONNE LADD
NORMAN, OK
NPI
1912315391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
Mrs. SHANNON JENONNE LADD
507 MEADOW PARK DR
NORMAN, OK 73069-5326
Phone number: 405-824-3603
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Mailing Address
Mrs. SHANNON JENONNE LADD
507 MEADOW PARK DR
NORMAN, OK 73069-5326
Phone number: 405-824-3603
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