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Shannon Deatherage, BSW
NPI 1629528302 · on the registry since 2016
Practice
- Address
- 3115 Arlington St
Ada, OK 74820 - Phone
- (580) 332-6345
- Fax
- (580) 421-7724
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Sex
- Female
- Record last updated
- 2016-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma