Individual provider · NPI-1

Shanda Allen

Social Worker, Clinical · Oklahoma City, OK

NPI number1205564291
StatusActive
Last updated in NPPESSep 8, 2022

Details

NPI
1205564291
Entity type
Individual (NPI-1)
Name
Shanda Allen
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2022
Certification date
Sep 7, 2022
Last updated
Sep 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

301 W 1-240 Service Road
Oklahoma City, OK 73139-7701

Phone 405-424-7711

Mailing address

308 Sw 146th St
Oklahoma City, OK 73170-7259

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