Individual
MS. PENNY R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5272 S LEWIS AVE STE 132, TULSA, OK 74105-6563
(918) 925-9137
(918) 512-4272
Mailing address
5272 S LEWIS AVE STE 132, TULSA, OK 74105-6563
(918) 925-9137
(918) 512-4272
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4713
OK
Other
Enumeration date
12/07/2007
Last updated
07/12/2023
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