SHADAVA WALLACE

Counselor

NPI: 1215656517Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address: 136 MEADOWVIEW ST
HUGO, OK 74743
Phone: (580) 424-4239

Quick Facts

NPI: 1215656517
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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