Individual
ELIZABETH ANN SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4911 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6171
(405) 605-3093
(405) 601-5682
Mailing address
4911 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6171
(405) 605-3093
(405) 601-5682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SHUMATE600
—
OK
Enumeration date
03/22/2010
Last updated
03/22/2010
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