Individual
MRS. DIANA W BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
101 S MAIN ST, MIAMI, OK 74354-7024
(918) 542-5543
(918) 540-3123
Mailing address
211 B ST SE, MIAMI, OK 74354-7705
(918) 542-7976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
320
OK
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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