Individual
CARLY ELIZABETH MIGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 224-0225
(918) 224-5975
Mailing address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 224-0225
(918) 224-5975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/04/2011
Last updated
08/15/2011
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