Individual
SUSAN ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Mailing address
11721 NS 3540, SEMINOLE, OK 74868-5422
(405) 512-8272
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OK
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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