Individual
SHANNON LEA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1004 REPUBLIC ST, ARDMORE, OK 73401-4555
(580) 768-3240
(580) 768-3240
Mailing address
144 LONDON LN, HEALDTON, OK 73438-3247
(580) 768-3240
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OK
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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