Individual
MARIESHA R SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6705 E 81ST ST STE 120, TULSA, OK 74133-4158
(214) 307-1993
Mailing address
6705 E 81ST ST STE 120, TULSA, OK 74133-4158
(214) 307-1993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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