Individual
MIA MICHELLE IGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 6TH ST, MUSKOGEE, OK 74401-6008
(918) 682-2491
Mailing address
PO BOX 2012, FORT GIBSON, OK 74434-2012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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