Individual
MS. SHAR'DAE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC-S
Contact information
Practice address
909 26TH AVE NW, NORMAN, OK 73069-6366
(405) 821-8599
Mailing address
PO BOX 55692, DEL CITY, OK 73155-0692
(405) 821-8599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
06/09/2016
Last updated
08/24/2021
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