Individual
MRS. CHANDRA L. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 E 10TH ST, OKMULGEE, OK 74447-5308
(918) 519-3786
Mailing address
1514 E 10TH ST, OKMULGEE, OK 74447-5308
(918) 519-3786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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