Individual
MRS. SHAQUION SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
(405) 208-4472
Mailing address
10141 SE 57TH ST, OKLAHOMA CITY, OK 73150-4525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12225
OK
Other
Enumeration date
06/24/2024
Last updated
07/22/2024
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