Shawn Wall

NPI #1649691908 in Wagoner, Oklahoma

Provider Information

NPI Number
1649691908
Entity Type
Individual
Name
Shawn Wall
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 3, 2014
Last Updated
Jan 3, 2014

Practice Location

Address
68470 S 315 RD
ZIP Code
74467-6292
Phone
(918) 729-9397

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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