Individual
MRS. MIRANDA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-P
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(918) 313-2261
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(918) 313-2261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20927-P
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/17/2021
Last updated
06/28/2024
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