Individual
SHANNON NEUGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4733
(402) 469-4807
Mailing address
25610 E 735 RD, TAHLEQUAH, OK 74464-1907
(402) 469-4807
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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