Individual
MILES KENT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5207 BEVERLY DR, OKLAHOMA CITY, OK 73105-1835
(405) 919-8781
Mailing address
5425 S LAKEWOOD PL, TULSA, OK 74135-7742
(405) 919-8781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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