Individual
SHANNON ROSE-SELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-6889
(580) 248-1090
Mailing address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-6889
(580) 248-1090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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