Individual
KODILYN SHOEMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-P
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7443
OK
Other
Enumeration date
12/16/2022
Last updated
02/24/2025
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