Individual
MARY ANN SHOONECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 N ROSS AVE, DEWEY, OK 74029-2134
(918) 534-7772
Mailing address
816 N ROSS, DEWEY, OK 74029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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