Individual
SHELIE RANAE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR PHYCOLOGY
Contact information
Practice address
130 W STEVE OWENS BLVD, MIAMI, OK 74354-7629
(918) 675-4100
Mailing address
PO BOX 1271, MIAMI, OK 74355-1271
(918) 675-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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