Individual
KERRY MIRANDA HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 N WATER AVE, TAHLEQUAH, OK 74464-2825
(918) 207-0078
Mailing address
227 N WATER AVE, TAHLEQUAH, OK 74464-2825
(918) 207-0078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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