MIRISSA JOY BEAVERS

OKLAHOMA CITY, OK
NPI1013553163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  8848)
Additional Taxonomies104100000X Social Worker
Enumeration Date2019-11-25
Last Update Date2025-04-02
Business Address
MIRISSA JOY BEAVERS
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5104
Phone number: 405-638-0961
Mailing Address
MIRISSA JOY BEAVERS
3457 ROBIN DR
WOODWARD, OK 73801-3941
Phone number: 580-216-4170