Individual
MRS. DIANNA PATRICIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1950 N OKMULGEE, OKMULGEE, OK 74447-6534
(918) 756-7700
(918) 756-3347
Mailing address
1950 N OKMULGEE, OKMULGEE, OK 74447-6534
(918) 756-7700
(918) 756-3347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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