Individual
SHERYLE PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 ZACHARY PL, SPENCER, OK 73084-3500
(405) 769-3237
Mailing address
2808 ZACHARY PL, SPENCER, OK 73084-3500
(405) 769-3237
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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