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Individual

MRS. BRENDA JOYCE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2200 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7135
(918) 335-1111
(918) 335-1119
Mailing address
2200 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7135
(918) 335-1111
(918) 335-1119

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100732190A
OK
05
100732190C
OK
Enumeration date
04/30/2010
Last updated
04/30/2010
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