Shannon Dawson

NPI #1194075267 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1194075267
Entity Type: Individual
Name: Shannon Dawson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 14, 2012
Last Updated: Sep 14, 2012

Practice Location

Address: 205 S J.T STITES
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-2915
Phone: (918) 453-1217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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