Individual
CARRIE RENA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9404 BUTTONWOOD AVE, MOORE, OK 73160-9137
(405) 237-3780
Mailing address
9404 BUTTONWOOD AVE, MOORE, OK 73160-9137
(405) 496-0469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6065
OK
1041C0700X
Clinical Social Worker
SW6214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200775820A
—
OK
Enumeration date
09/28/2017
Last updated
07/21/2022
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