Individual
MRS. JOAN BOUNDS SHUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
16 S 7TH ST, DUNCAN, OK 73533-4940
(580) 255-8800
(580) 255-8842
Mailing address
RR 1 BOX 45, COMANCHE, OK 73529-9713
(580) 439-5676
(580) 439-6343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
501
OK
101Y00000X
Counselor
818
OK
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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