Provider Information for 1518542208
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Mrs. SHAIUANA CARROLL OKORO LPC
Sex: Female
NPI: 1518542208
Last Updated: 2024-01-08
Certification Date: 2024-01-08
Certification Date: 2024-01-08
Details
| Name | Value | ||||||||
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| NPI | 1518542208 | ||||||||
| Enumeration Date | 2021-03-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 13215 AMBROSA DR HOUSTON, TX 77044-1543 United States Phone: 832-293-6034 | Fax: | ||||||||
| Primary Practice Address | 13215 AMBROSA DR HOUSTON, TX 77044-1543 United States Phone: 832-293-6034 | Fax: | ||||||||
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