Individual
MS. DIANA DAYL WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
5550 S GARNETT RD STE 200, 5550 S GARNETT, SUITE 200, TULSA, OK 74146-6830
(918) 665-2501
(918) 665-2501
Mailing address
5550 S GARNETT RD STE 200, 5550 S GARNETT, SUITE 200, TULSA, OK 74146-6830
(918) 665-2501
(918) 665-2501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
OK
Other
Enumeration date
09/07/2010
Last updated
03/02/2012
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