Individual
MIAO TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 E THOMAS AVE, STILLWATER, OK 74075-2600
(405) 372-7791
Mailing address
421 E THOMAS AVE, STILLWATER, OK 74075-2600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/06/2020
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