Individual
MR. JOEY N. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED LPC
Contact information
Practice address
501 E 15TH ST, EDMOND, OK 73013-5043
(405) 308-3128
Mailing address
3905 N BRYANT AVE, EDMOND, OK 73034-4037
(405) 308-3128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
340
OK
Other
Enumeration date
08/20/2007
Last updated
05/29/2009
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