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Collins T Shipley

Peer Specialist in Tulsa, OK. Individual provider (NPI-1).

NPI number1245089986
StatusActive
Last updated in NPPESMay 15, 2024

Details

NPI
1245089986
Entity type
Individual (NPI-1)
Name
Collins T Shipley
Sex
Female
Sole proprietor
Yes
Enumeration date
May 15, 2024
Certification date
May 15, 2024
Last updated
May 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Phone 801-427-0745

Mailing address

1728 S Carson Ave
Tulsa, OK 74119-4610

Phone 801-427-0745

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