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Individual

HAL LEWIS SHOFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LADC

Contact information

Practice address
5100 N BROOKLINE AVE, SUITE 950, OKLAHOMA CITY, OK 73112-3623
(405) 717-9840
(405) 942-4790
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-9840
(405) 942-4790

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
479
OK
1041C0700X
Clinical Social Worker
Primary
1844
OK

Other

Enumeration date
01/25/2007
Last updated
07/21/2017
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