Individual
MS. DIANE MARGIORE KALAYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LADC
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0897
OK
Other
Enumeration date
04/18/2009
Last updated
04/21/2010
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