Individual
SHANNON FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 W 59TH ST, TULSA, OK 74107-9205
(918) 841-9555
Mailing address
3505 W 59TH ST, TULSA, OK 74107-9205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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