Shalonna Grissom

NPI #1821361825 in Atoka, Oklahoma

Provider Information

NPI Number: 1821361825
Entity Type: Individual
Name: Shalonna Grissom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Feb 22, 2012
Last Updated: Feb 22, 2012

Practice Location

Address: 303 E COURT ST
City: Atoka
State: Oklahoma
ZIP Code: 74525-2047
Phone: (580) 889-3399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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