Individual
MS. ELIZABETH MICHELLE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 W MORROW RD, TISHOMINGO, OK 73460-0794
(580) 371-6234
Mailing address
PO BOX 794, TISHOMINGO, OK 73460-0794
(580) 371-6234
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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