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Individual

MRS. ERIN MORAN SHIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
2532 NW 44TH STREET, OKC, OK 73112
(505) 730-9700
Mailing address
2532 NW 44TH STREET, OKC, OK 73112
(505) 730-9700

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3812
NM
235Z00000X
Speech-Language Pathologist
Primary
4166
OK

Other

Enumeration date
10/10/2007
Last updated
07/10/2014
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