Individual
SHEA CHEYENNE CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SW 104TH ST, OKLAHOMA CITY, OK 73159-7661
(405) 424-7711
Mailing address
919 RUBY LN, MIDWEST CITY, OK 73130-5732
(405) 821-0520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/18/2023
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