MIRANDA LEE FRAZER

TISHOMINGO, OK
NPI1578830980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-11-30
Last Update Date2019-03-29
Business Address
MIRANDA LEE FRAZER FSP
512 E 24TH ST
TISHOMINGO, OK 73460
Phone number: 580-622-2783
Mailing Address
MIRANDA LEE FRAZER FSP
1488 JENICE DR
SULPHUR, OK 73086-1121
Phone number: 580-247-0169
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