Individual
MRS. SHANNON JENONNE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 MEADOW PARK DR, NORMAN, OK 73069-5326
(405) 824-3603
Mailing address
507 MEADOW PARK DR, NORMAN, OK 73069-5326
(405) 824-3603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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