Individual
MS. MIEKE N EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2727 S 137TH WEST AVE, SAND SPRINGS, OK 74063-5017
(918) 245-0231
(918) 241-5031
Mailing address
2514 E 17TH ST, TULSA, OK 74104-5107
(918) 747-7556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0137
OK
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
0137
OK
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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