Michele Rae Diesselhorst-Reese, LCSW Valid NPI
Individual provider · Clinical Social Worker · Edmond, OK
- NPI
- 1437251311
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 3024 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-09-02
- Last updated
- 2007-07-08
Practice location
16608 Ventana Blvd
Edmond, OK 73003-8986
(405) 340-3753