Individual
SHATERA LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
825 NE 10TH ST STE 3C, OKLAHOMA CITY, OK 73104-5417
(572) 244-5239
Mailing address
614 NW 175TH ST UNIT A, EDMOND, OK 73012-0684
(405) 695-1874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8744-P
OK
104100000X
Social Worker
Primary
8744
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/21/2015
Last updated
04/06/2026
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