Organization
SHETTRA SNOWBALL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHETTRA MICHELLE SNOWBALL LCSW (OWNER/OPERATOR)
(405) 642-3278
Entity
Organization
Contact information
Practice address
6400 N CAROL DR, OKLAHOMA CITY, OK 73141-9623
(405) 642-3278
(405) 771-9184
Mailing address
6400 N CAROL DR, OKLAHOMA CITY, OK 73141-9623
(405) 642-3278
(405) 771-9184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3876
OK
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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