Individual
SHELIA MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 NE 18TH ST, OKLAHOMA CITY, OK 73121-2881
(405) 968-5517
Mailing address
3309 NE 18TH ST, OKLAHOMA CITY, OK 73121-2881
(405) 968-5517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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