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Leah Diane Qualls
Mental Health Clinic/Center (Including Community Mental Health Center) in Okmulgee, Oklahoma
NPI 1164940912

Leah Diane Qualls is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Okmulgee, OK and is specialized in Mental Health (Including Community Mental Health Center). Leah Diane Qualls practices in Okmulgee, OK. The NPI Number for Leah Diane Qualls is 1164940912 and holds a License No. (Oklahoma).

The current practice location address for Leah Diane Qualls is 1803 S Wood Dr, Okmulgee, OK and can be reached out via phone at 918-756-9250.

Location: 1803 S Wood Dr, Okmulgee, OK, 74447-6825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164940912
Provider Name
Leah Diane Qualls
Credential
Provider Entity Type
Individual
Gender
Female
Address
1803 S Wood Dr, Okmulgee, OK, 74447-6825
Phone Number
918-756-9250
Fax Number
Provider Enumeration Date
08/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1803 S Wood Dr
City
Okmulgee
State
Oklahoma
Zip
74447-6825
Phone Number
918-756-9250
Fax Number
person
Provider Business Mailing Address Details
Address
1803 S Wood Dr
City
Okmulgee
State
Oklahoma
Zip
74447-6825
Phone Number
918-756-9250
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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