Individual
ANGELA LEE SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E WYANDOTTE AVE, MCALESTER, OK 74501-5464
(918) 420-5238
(918) 420-5717
Mailing address
PO BOX 415, MCALESTER, OK 74502-0415
(918) 839-2450
(918) 420-5717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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