Individual
SHELLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5037
(405) 239-6815
(405) 239-2637
Mailing address
1737 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5037
(405) 239-6815
(405) 239-2637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
UNSUP
OK
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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