Individual
TAMARA DANETTE SORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 542-6412
Mailing address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 542-6412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7604-P
OK
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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