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Shane Stephen Norwood

Counselor, Mental Health in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1124397484
StatusActive
Last updated in NPPESDec 15, 2011

Details

NPI
1124397484
Entity type
Individual (NPI-1)
Name
Shane Stephen Norwood
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 15, 2011
Last updated
Dec 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Phone 405-424-7711

Mailing address

624 Country Side Trl
Edmond, OK 73012-6686

Phone 405-863-8308

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