Individual
SUSAN PENROD SHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 270-1538
Mailing address
12233 GREENWICK DR, OKLAHOMA CITY, OK 73162-1714
(405) 728-6768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1712
OK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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