Individual
MS. DENISE LASHAUN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 NW 57TH ST STE 302, OKLAHOMA CITY, OK 73112-7070
(405) 840-1253
Mailing address
833 ENGLEWOOD RD, DEL CITY, OK 73115-1333
(405) 618-8420
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
261QM0801X
OK
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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