Shannon Rene' Stabers

NPI #1073986071 in Pryor, Oklahoma

Provider Information

NPI Number: 1073986071
Entity Type: Individual
Name: Shannon Rene' Stabers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 12, 2015
Last Updated: Jul 19, 2016

Practice Location

Address: 231 E GRAHAM AVE
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 825-1406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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