Individual
SHARICE REAEL THREATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11229 N PENNSYLVANIA AVE, #528, OKLAHOMA CITY, OK 73120-7739
(405) 431-6009
Mailing address
11229 N PENNSYLVANIA AVE, #528, OKLAHOMA CITY, OK 73120-7739
(405) 431-6009
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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