Individual
MIRANDA CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W 7TH ST STE 102, OKMULGEE, OK 74447-5007
(918) 758-1910
(918) 756-1270
Mailing address
125 N SHERMAN AVE, OKMULGEE, OK 74447-2816
(918) 758-1910
(918) 756-1270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522336
OKMULGEE MEDICARE
OK
Enumeration date
05/26/2009
Last updated
06/05/2009
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