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Individual

MS. SHA-AKEELAH V JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
4209 N W 23 RD STE 100, OKLAHOMA CITY, OK 73107
(405) 917-1709
Mailing address
6540 W WILSHIRE BLVD APT 244, OKLAHOMA CITY, OK 73132-5437
(405) 721-0052

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3524099511
OK
Enumeration date
05/21/2012
Last updated
05/21/2012
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