Organization
FAMILY SHELTER OF SOUTHERN OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DAWN POWELL B.A. (SHELTER MANAGER)
(580) 226-6424
Entity
Organization
Contact information
Practice address
117 B ST SW, ARDMORE, OK 73401-6401
(580) 226-6424
(580) 226-6470
Mailing address
PO BOX 1408, ARDMORE, OK 73402-1408
(580) 226-6424
(580) 226-6470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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