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Individual

ERIKA ALLISON DAVIS SHADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCMHC, LPC

Contact information

Practice address
1700 S BOULEVARD STE B, EDMOND, OK 73013-5174
(405) 215-9151
Mailing address
9620 SW 25TH ST, OKLAHOMA CITY, OK 73128-4961
(918) 219-4355

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/16/2018
Last updated
01/28/2026
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