Individual
KATHERINE SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2485 N MAIN ST, JAY, OK 74346-2201
(918) 253-2550
(918) 253-2122
Mailing address
2485 N MAIN ST, JAY, OK 74346-2201
(918) 253-2550
(918) 253-2122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6571
OK
Other
Enumeration date
06/18/2014
Last updated
10/24/2018
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