Individual
MIESHA RUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11428 E 20TH ST STE A, TULSA, OK 74128-6452
(918) 878-7877
(918) 878-7882
Mailing address
11428 E 20TH ST STE A, TULSA, OK 74128-6452
(918) 878-7877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
11/19/2013
Last updated
02/06/2014
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