Individual
MELISA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2530 SOUTH COMMERCE BLDG B, ARDMORE, OK 73401-0189
(580) 223-5636
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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