Individual
ROSE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 SUNSET RD, PAWHUSKA, OK 74056-2483
(918) 287-3236
Mailing address
1301 SUNSET RD, PAWHUSKA, OK 74056-2483
(918) 287-3236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
UNDER SUPERVISION
OK
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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