Most Relevant Information
Provider Data
| NPI Number: | 1003220906 |
| Provider Name: | KATHERINE SHOOK LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2014 |
| Last Updated: | 10/24/2018 |
Provider Practice Location
2485 N MAIN ST
JAY
OK
743462201
Practice Location Phone/Fax
| Phone: | 9182532550 |
| Fax: | 9182532122 |
Provider Mailing Location
2485 N MAIN ST
JAY
OK
743462201
Provider Mailing Phone/Fax
| Phone: | 9182532550 |
| Fax: | 9182532122 |