Individual
MRS. DIANE CASSODY WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8810 S YALE AVE STE P, TULSA, OK 74137-3551
(918) 855-1435
(918) 626-1388
Mailing address
8810 S YALE AVE STE P, TULSA, OK 74137-3551
(918) 855-1435
(918) 626-1388
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3532
OK
101YP2500X
Professional Counselor
3532
OK
Other
Enumeration date
11/12/2009
Last updated
03/12/2025
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