Individual
ANDREA MILLER LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 S LEWIS AVE, TULSA, OK 74105-7104
(918) 779-4556
Mailing address
3715 BRANDYWINE DR, METAIRIE, LA 70002-7001
(720) 253-6050
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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