Individual
DEASHIA SHANNICE COGDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5509 MAIN ST STE 102, DEL CITY, OK 73115-5511
(405) 627-9308
Mailing address
11810 NE 46TH ST, SPENCER, OK 73084-7311
(405) 902-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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