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Individual

MRS. ANTOINETTE LORRAINE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BHRS

Contact information

Practice address
310 S. 11TH STREET, HARTSHORNE, OK 74547
(918) 297-3400
(918) 297-3401
Mailing address
227 E VAN BUREN AVE, MCALESTER, OK 74501-4132
(918) 470-0896

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK

Other

Enumeration date
05/06/2010
Last updated
05/06/2010
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