Individual
SHAWNDREA NICOLE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS IN MATH
Contact information
Practice address
4828 SE 88TH TER, OKLAHOMA CITY, OK 73135-6306
(580) 235-2938
Mailing address
4828 SE 88TH TER, OKLAHOMA CITY, OK 73135-6306
(580) 235-2938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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