Individual
MRS. SHAWN L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 242-4673
(580) 242-4679
Mailing address
1333 SENECA AVE, ENID, OK 73703-7024
(580) 223-3070
(580) 242-4679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3441
OK
Other
Enumeration date
07/27/2006
Last updated
06/02/2008
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