Individual
MRS. MICHELLE WHITLOCK
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
111 W GEORGIA ST, SHAWNEE, OK 74804-2819
(405) 227-7316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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