Individual
SHARIECE PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 NW 89TH ST, OKLAHOMA CITY, OK 73114-3017
(405) 468-6748
Mailing address
501 NW 89TH ST, OKLAHOMA CITY, OK 73114-3017
(405) 468-6748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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