Individual
SHAWNA LANEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12306 E 87TH ST N, OWASSO, OK 74055-2040
(918) 373-4374
Mailing address
12306 E 87TH ST N, OWASSO, OK 74055-2040
(918) 373-4374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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