Individual
AMANDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 7TH ST APT 621, TULSA, OK 74119-1045
(918) 639-0871
Mailing address
410 W 7TH ST APT 621, TULSA, OK 74119-1045
(918) 639-0871
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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