Family Shelter of Southern Oklahoma

NPI #1891023115 in Ardmore, Oklahoma

Provider Information

NPI Number: 1891023115
Entity Type: Organization
Organization Name: Family Shelter of Southern Oklahoma
Primary Specialty: Counselor
Enumeration Date: Nov 24, 2009
Last Updated: Nov 24, 2009

Practice Location

Address: 117 B ST SW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-6401
Phone: (580) 226-6424

Authorized Official

Name: MRS. KIMBERLY DAWN POWELL, B.A.
Title: SHELTER MANAGER
Phone: (580) 226-6424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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