Individual
MRS. MIRANDA F SUMMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
127 N 3RD AVE, DURANT, OK 74701-4700
(580) 931-3008
Mailing address
1646 N 9TH AVE, DURANT, OK 74701-3527
(580) 565-2175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
01/06/2015
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