Individual
CLAUDE MARY WHITESHIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1516 N 20TH ST, BROKEN ARROW, OK 74012-2081
(918) 931-0333
Mailing address
1516 N 20TH ST, BROKEN ARROW, OK 74012-2081
(918) 931-0333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3150
OK
Other
Enumeration date
05/08/2018
Last updated
08/07/2024
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