Most Relevant Information
Provider Data
| NPI Number: | 1003446519 |
| Provider Name: | MERANDA SMALLWOOD LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2020 |
| Last Updated: | 10/28/2022 |
Provider Practice Location
1336 N HARRISON AVE
SHAWNEE
OK
748015206
Practice Location Phone/Fax
| Phone: | 4054247711 |
| Fax: |
Provider Mailing Location
1336 N HARRISON AVE
SHAWNEE
OK
748015206
Provider Mailing Phone/Fax
| Phone: | 4053284817 |
| Fax: |