Individual
MARK EDEN SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4301 NW WILSON ROAD, BH UNIT, FT SILL, OK 73503-4472
(580) 558-8283
Mailing address
6504 NW OAK AVE # B-11, LAWTON, OK 73505-4367
(816) 200-9572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001963
MO
Other
Enumeration date
07/15/2008
Last updated
02/11/2022
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