person
Mr. Shaun Robert Grange
Professional Counselor in Shawnee, Oklahoma
NPI 1326677709

Shaun Robert Grange is a Professional Counselor based in Shawnee, OK and is specialized in Professional. Shaun Robert Grange practices in Shawnee, OK. The NPI Number for Shaun Robert Grange is 1326677709 and holds a License No. (Oklahoma).

The current practice location address for Shaun Robert Grange is 429 N Union Ave, Shawnee, OK and can be reached out via phone at 405-275-1844 and via fax at 405-275-1124.

Location: 429 N Union Ave, Shawnee, OK, 74804-4426
person
Provider Profile Details
NPI Number
1326677709
Provider Name
Shaun Robert Grange
Credential
Provider Entity Type
Individual
Gender
Male
Address
429 N Union Ave, Shawnee, OK, 74804-4426
Phone Number
405-275-1844
Fax Number
405-275-1124
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
429 N Union Ave
City
State
Zip
74801-7019
Phone Number
405-275-1844
Fax Number
405-275-1124
person
Provider Business Mailing Address Details
Address
429 N Union Ave
City
State
Zip
74801-7019
Phone Number
405-275-1844
Fax Number
405-275-1124
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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