| Shadava Deann Wallace, | |
|
136 Meadowview St, Hugo, OK 74743-5402 | |
| (580) 424-4239 | |
| Not Available |
| Full Name | Shadava Deann Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 136 Meadowview St, Hugo, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215656517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shadava Deann Wallace, 136 Meadowview St, Hugo, OK 74743-5402 Ph: (580) 424-4239 | Shadava Deann Wallace, 136 Meadowview St, Hugo, OK 74743-5402 Ph: (580) 424-4239 |
Ms. Roberta Lee Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 E Jackson St, Hugo, OK 74743 Phone: 580-326-2200 Fax: 580-326-2221 | |
Mrs. Patricia Irene Wallace, LPC,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 N 4th St, Hugo, OK 74743 Phone: 580-326-7531 Fax: 580-326-2377 | |
Mr. Don G. Loman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Hugo, OK 74743 Phone: 580-326-7477 Fax: 580-326-6400 | |
Jordan Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N 5th St, Hugo, OK 74743 Phone: 580-326-9475 Fax: 580-326-9028 | |
Elizabeth Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 N 4240 Rd, Hugo, OK 74743 Phone: 580-372-7430 | |
Ms. Heather Sarese Dill, BA IN PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E Jefferson St, Hugo, OK 74743 Phone: 580-326-7862 | |
Diana Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 1/2 W Jackson St, Hugo, OK 74743 Phone: 580-326-9475 |