MAHOGONY SHAW

Case Manager/Care Coordinator

Active Individual
NPI: 1164181657

Practice Address

2500 THOMAS DR APT 714
Edmond, OK 73003

Phone: (405) 421-7978

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1164181657 is the National Provider Identifier for MAHOGONY SHAW, a Case Manager/Care Coordinator provider located in Edmond, OK. This NPI was enumerated on December 11, 2021.
MAHOGONY SHAW practices at 2500 THOMAS DR APT 714, Edmond, OK 73003.

Quick Facts

NPI
1164181657
Type
Individual
Enumerated
Dec 11, 2021
Last Updated
Dec 11, 2021

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