Individual
SHAELEE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
Mailing address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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