MRS. Amanda Rose Gresham

NPI #1023656675 in Shawnee, Oklahoma

Provider Information

NPI Number: 1023656675
Entity Type: Individual
Name: MRS. Amanda Rose Gresham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 13, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 101 N UNION AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-7067
Phone: (405) 275-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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