Mr. Shaun Robert Grange
Mr. Shaun Robert Grange is a Professional Counselor in Shawnee, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
429 N Union AveShawnee, OK 74801-7019
Phone: (405) 275-1844
Fax: (405) 275-1124
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1326677709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 7, 2020 |
| Last updated in NPPES | April 7, 2020 |
| Certification date | April 7, 2020 |
| Mailing address | 1906 Rain Tree Dr, Shawnee, OK 74804-4426 |
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