Individual
MRS. AMBER NICHOLE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. L.P.C.
Contact information
Practice address
401 DEERTAIL DR, POTEAU, OK 74953-5526
(918) 413-2291
Mailing address
401 DEERTAIL DR, POTEAU, OK 74953-5526
(918) 413-2291
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2QM00000X
—
OK
Enumeration date
12/15/2014
Last updated
06/17/2019
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