Shelbi Juan Ice Davis

NPI #1699494203 in Enid, Oklahoma

Provider Information

NPI Number
1699494203
Entity Type
Individual
Name
Shelbi Juan Ice Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Aug 25, 2022
Last Updated
Aug 25, 2022

Practice Location

Address
2402 ROBIN RDG
City
Enid
ZIP Code
73703-6419
Phone
(580) 366-9799

Specialties & Taxonomy Codes

Specialty
Counselor

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