Individual
SHELBY SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
(405) 275-3343
Mailing address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
(405) 275-3343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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