Individual
SHAAKIRA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 W UNIVERSITY BLVD, STE 100, DURANT, OK 74701-2970
(580) 924-7331
Mailing address
2524 W UNIVERSITY BLVD, STE 100, DURANT, OK 74701-2970
(580) 924-7331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
03/08/2022
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