Individual
HEATHER RENEE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 N COUNCIL RD BLDG C, BETHANY, OK 73008-3131
(405) 889-6366
Mailing address
4107 N COUNCIL RD BLDG C, BETHANY, OK 73008-3131
(405) 889-6366
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
02/06/2025
Last updated
03/12/2025
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