NPI 1023656675

Amanda Rose Gresham

Practitioner Social Worker Shawnee, OK

Practice location

Address: 101 N Union Ave, Shawnee, OK 74801-7067
Phone: (405) 275-7100

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Oklahoma →

Registry record

NPI: 1023656675
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2019
Record last updated: 13 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.