Individual
SHANNON TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 S BOSTON AVE, TULSA, OK 74119-3607
(918) 599-7999
Mailing address
1421 S BOSTON AVE, TULSA, OK 74119-3607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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