Individual
MIRANDA DENISE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSHR CRC NCC LPC
Contact information
Practice address
1013 15TH AVE. NE, ARDMORE, OK 73401
(580) 238-4277
Mailing address
3442 EDGEWOOD RD, ARDMORE, OK 73401-7897
(580) 768-1634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
378639
OK
101YP2500X
Professional Counselor
Primary
13029
OK
Other
Enumeration date
12/04/2019
Last updated
10/27/2025
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