Individual
MS. DIANE JEAN VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4209 WEDGEWOOD RD, ENID, OK 73703-3540
(580) 340-4709
Mailing address
1115 HARBER RD, GROVE, OK 74344-7918
(918) 786-4434
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1581
OK
Other
Enumeration date
06/18/2006
Last updated
11/01/2024
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