Individual
COURTNEY RAELLEN SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 ANTRY DR, CATOOSA, OK 74015-2405
(918) 549-0256
Mailing address
1342 N 155TH EAST AVE, TULSA, OK 74116-2449
(918) 549-0256
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
07/15/2025
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