Individual
MS. SHELLEY L MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.C.P.
Contact information
Practice address
416 SW 79TH ST, OKLAHOMA CITY, OK 73139-8121
(405) 246-5433
Mailing address
13209 EASTVALLEY RD, OKLAHOMA CITY, OK 73170-6833
(405) 250-8897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4112
OK
Other
Enumeration date
01/18/2009
Last updated
01/18/2009
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