Individual
DEBORAH L SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 W INDEPENDENCE ST STE 105, SHAWNEE, OK 74804-4329
(405) 434-2301
Mailing address
3908 N AYDELOTTE AVE, SHAWNEE, OK 74804-1620
(405) 434-2301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11871
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/17/2018
Last updated
12/03/2024
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