Individual
DARLENE CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E CHOCTAW AVE, SALLISAW, OK 74955-4604
(918) 790-2292
(918) 790-2291
Mailing address
454005 E 958 RD, VIAN, OK 74962-6016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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