Individual
MISTI D HANRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MHP
Contact information
Practice address
1008 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4734
(918) 458-0113
Mailing address
1008 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4734
(918) 458-0113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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