Individual
LAUREL DIANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 E SKELLY DR, SUITE 390, TULSA, OK 74105-6317
(918) 665-0208
(918) 665-0216
Mailing address
11520 S 102ND EAST AVE, BIXBY, OK 74008-3007
(918) 369-9985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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