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Individual

SHAUNA MCCARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PRSS

Contact information

Practice address
308 W MAIN ST STE 2, DURANT, OK 74701-5025
(580) 745-9276
(580) 920-9056
Mailing address
308 W MAIN ST STE 2, DURANT, OK 74701-5025
(580) 745-9276
(580) 920-9056

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35-2341619
OK
Enumeration date
09/28/2016
Last updated
09/28/2016
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