Individual
BRIAN QUINN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 N WATER, SAPULPA, OK 74066
(918) 224-0225
Mailing address
PO BOX 81, GLENPOOL, OK 74033-0081
(918) 827-3711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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