Individual
SHEILA DIANE ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N DALTON ST, VALLIANT, OK 74764-8029
(580) 933-7031
(580) 933-7034
Mailing address
PO BOX 673, VALLIANT, OK 74764-0673
(580) 933-7031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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