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1154847663
DIANA LEE WALL
BROKEN ARROW, OK
NPI
1154847663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 6542)
Enumeration Date
2017-08-16
Last Update Date
2022-07-21
Business Address
DIANA LEE WALL M.A., LPC
1217 E COLLEGE ST
BROKEN ARROW, OK 74012-4204
Phone number: 918-259-1462
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Mailing Address
DIANA LEE WALL M.A., LPC
1217 E COLLEGE ST
BROKEN ARROW, OK 74012-4204
Phone number: 918-259-1462
Copy
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