Individual
WADE DANIEL SHEWMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0341
Mailing address
308 SE 22ND ST, NEWCASTLE, OK 73065-5351
(405) 387-4120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1639
OK
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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