Individual
MRS. SHAWNDA PAULINE KIRCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Mailing address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7705
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/08/2016
Last updated
04/06/2023
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