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Individual

RIETTA L MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1818 W LINDSEY ST, SUITE C-210, NORMAN, OK 73069-4162
(405) 831-6388
(405) 858-0602
Mailing address
PO BOX 720143, NORMAN, OK 73070-4110
(405) 831-6388
(405) 858-0602

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2183
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100707380A
OK
Enumeration date
06/29/2006
Last updated
10/07/2015
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