Individual
MS. CARRY SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E CHOCTAW AVE, SALLISAW, OK 74955-4604
(918) 790-2292
Mailing address
401 W REDWOOD AVE, SALLISAW, OK 74955-2639
(918) 235-1621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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