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Sharrod Mac, Rehab Specialist

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

NPI number1376836734
StatusActive
Last updated in NPPESMay 18, 2011

Details

NPI
1376836734
Entity type
Individual (NPI-1)
Name
Sharrod Mac
Credential
Rehab Specialist
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2011
Last updated
May 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

5714 S Western Ave
Oklahoma City, OK 73109-4515

Phone 405-601-1154 · Fax 405-601-1183

Mailing address

5714 S Western Ave
Oklahoma City, OK 73109-4515

Phone 405-601-1154 · Fax 405-601-1183

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