Individual
DIANA MICHELLE GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1407 SHERRY LN, SHAWNEE, OK 74801-5421
(405) 275-4291
(405) 275-4291
Mailing address
403 N CLARENCE NASH BLVD, WATONGA, OK 73772-3636
(405) 275-4291
(405) 275-4291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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