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George Fredrick Shafer JR.
Peer Specialist in Edmond, Oklahoma
NPI 1700399714

George Fredrick Shafer JR. is a Peer Specialist based in Edmond, OK. George Fredrick Shafer JR. practices in Edmond, OK. The NPI Number for George Fredrick Shafer JR. is 1700399714 and holds a License No. (Oklahoma).

The current practice location address for George Fredrick Shafer JR. is 12250 S Kelly Ave, Edmond, OK and can be reached out via phone at 405-200-4058.

Location: 12250 S Kelly Ave, Edmond, OK, 73025-5815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700399714
Provider Name
George Fredrick Shafer JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
12250 S Kelly Ave, Edmond, OK, 73025-5815
Phone Number
405-200-4058
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12250 S Kelly Ave
City
Edmond
State
Oklahoma
Zip
73025-1903
Phone Number
405-200-4058
Fax Number
person
Provider Business Mailing Address Details
Address
12250 S Kelly Ave
City
Edmond
State
Oklahoma
Zip
73025-1903
Phone Number
405-200-4058
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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