Steven Anderson Shade
Steven Anderson Shade is a Peer Specialist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
1011 S Muskogee AveTahlequah, OK 74464-4733
Phone: (918) 525-6035
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1326764705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 17, 2022 |
| Last updated in NPPES | October 17, 2022 |
| Certification date | October 17, 2022 |
| Mailing address | 24230 E 751 Rd, Tahlequah, OK 74464-1809 |
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