Individual
LEOTA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 W DOWNING ST, APT C, TAHLEQUAH, OK 74464-2701
(918) 718-9422
(918) 456-1407
Mailing address
218 W DOWNING ST, APT C, TAHLEQUAH, OK 74464-2701
(918) 718-9422
(918) 456-1407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
01/13/2015
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