Ebony Shirley

NPI #1417371444 in Moore, Oklahoma

Provider Information

NPI Number: 1417371444
Entity Type: Individual
Name: Ebony Shirley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Feb 11, 2014
Last Updated: Feb 11, 2014

Practice Location

Address: 1505 NE 3RD ST
City: Moore
State: Oklahoma
ZIP Code: 73160-7811
Phone: (214) 250-8582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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