Individual
SHANDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W 1-240 SERVICE ROAD, OKLAHOMA CITY, OK 73139-7701
(405) 424-7711
Mailing address
308 SW 146TH ST, OKLAHOMA CITY, OK 73170-7259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
09/08/2022
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