Individual
MRS. MARTHA ALLISON SHADOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-P
Contact information
Practice address
804 W. CHOCTAW, CHICKASHA, OK 73018
(405) 222-0622
(405) 224-9532
Mailing address
804 W. CHOCTAW, CHICKASHA, OK 73018
(405) 222-0622
(405) 224-9532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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