Individual
MS. JERRILEA ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13328 EASTRIDGE DR, OKLAHOMA CITY, OK 73170-6822
(405) 503-9249
Mailing address
13328 EASTRIDGE DR, OKLAHOMA CITY, OK 73170-6822
(405) 503-9249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3339
OK
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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