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Individual

ANNE MICHELLE POWELL SHAFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
12101 N MACARTHUR BLVD STE 429, OKLAHOMA CITY, OK 73162-1800
(405) 226-4911
Mailing address
6707 NW 29TH TER, BETHANY, OK 73008-4733
(580) 401-0671

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4679
OK

Other

Enumeration date
10/30/2019
Last updated
10/30/2019
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