Individual
LYNN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5518 S CINCINNATI AVE, TULSA, OK 74105-6706
(918) 519-0651
Mailing address
5518 S CINCINNATI AVE, TULSA, OK 74105-6706
(918) 519-0651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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