Individual
DIANA SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2914 EPPERLY DR, DEL CITY, OK 73115-3322
(405) 604-9790
Mailing address
2914 EPPERLY DR, DEL CITY, OK 73115-3322
(405) 604-9790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XXXX
OK
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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