Individual
MRS. SYLVIA 'SHERRY' CHARISSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
499 HARDESTY DR, SHAWNEE, OK 74804-1134
(405) 395-9121
Mailing address
499 HARDESTY DR, SHAWNEE, OK 74804-1134
(405) 395-9121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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