Individual
DIANDRA LATRELL PERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 382-7300
Mailing address
2544 W FAIRVIEW ST, TULSA, OK 74127-5125
(918) 549-5227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
06/29/2014
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