Individual
MS. SHANTE L FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 STRATFORD DR, #407, OKLAHOMA CITY, OK 73120-7242
(405) 406-9649
Mailing address
11130 STRATFORD DR, #407, OKLAHOMA CITY, OK 73120-7242
(405) 406-9649
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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