Individual
AMANDA HARRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 207-0078
Mailing address
417 W SENECA ST, TAHLEQUAH, OK 74464-6817
(701) 388-1036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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