Individual
AMANDA ROSE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 464-0247
Mailing address
3420 BROOKSIDE DR, MIDWEST CITY, OK 73110-7231
(405) 824-8615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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