Individual
AMANDA SHALEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 602-3171
Mailing address
2753 LANCASTER LN, OKLAHOMA CITY, OK 73116-4416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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