IndividualActive
Amanda Gresham
NPI 1023656675 · Social Worker · Shawnee, OK
Provider details
- NPI number
- 1023656675
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
101 N Union Ave
Shawnee, OK 74801-7067
Phone: (405) 275-7100
Approximate (ZIP-level) locationGet directions
Mailing address
101 N Union Ave
Shawnee, OK 74801-7067
Registry dates
- Enumerated
- 2019-12-13
- Last updated
- 2019-12-13
- Certified
- 2019-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.