Individual
MISS SHAYLA MONETT DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 S DIVISION ST, GUTHRIE, OK 73044-6027
(405) 260-3441
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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