Individual
MS. MICHELE SHANTAI DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1900 NE 36TH ST STE G, OKLAHOMA CITY, OK 73111-5218
(405) 270-0005
Mailing address
2301 NW 122ND ST APT 3406, OKLAHOMA CITY, OK 73120-8459
(682) 622-6897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
F083366435
OK
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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