Individual
SHANTEL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 N LOUISVILLE AVE, TULSA, OK 74115-8313
(918) 671-4090
Mailing address
44 N LOUISVILLE AVE, TULSA, OK 74115-8313
(918) 671-4090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21425-P
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/02/2019
Last updated
06/12/2025
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