Individual
MIRANDA CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
(918) 649-0136
Mailing address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
(918) 649-0136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
09/23/2021
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