Individual
DIANE LYNN SMALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3614 W 109TH ST S, JENKS, OK 74037-1811
(918) 209-3015
Mailing address
3614 W 109TH ST S, JENKS, OK 74037-1811
(918) 856-6604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4993
OK
Other
Enumeration date
11/09/2009
Last updated
02/23/2017
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