Individual
MIRANDA MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRSS
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117
(909) 838-2760
Mailing address
P.O. BOX 61172, OKLAHOMA CITY, OK 73146
(909) 838-2760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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