Individual
HANNAH LEIGH WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
Mailing address
326 W 11TH ST, SHAWNEE, OK 74801-6710
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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