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1992079529
SHANNON E WICKENHAUSER
OKLAHOMA CITY, OK
NPI
1992079529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-29
Last Update Date
2012-02-29
Business Address
-- SHANNON E WICKENHAUSER BHRS
4149 HIGHLINE BLVD SUITE 400
OKLAHOMA CITY, OK 73108-2103
Phone number: 405-949-1000
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Mailing Address
-- SHANNON E WICKENHAUSER BHRS
19608 HARNESS CT
EDMOND, OK 73012-3408
Phone number: 405-638-5419
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