Individual
MRS. SHANNA TAE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 602-3171
(405) 602-3226
Mailing address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 602-3171
(405) 602-3226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
01/06/2010
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