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Miriam Wall
Mental Health Counselor in Sallisaw, Oklahoma
NPI 1619383783

Miriam Wall is a Mental Health Counselor based in Sallisaw, OK and is specialized in Mental Health. Miriam Wall practices in Sallisaw, OK. The NPI Number for Miriam Wall is 1619383783 and holds a License No. (Oklahoma).

The current practice location address for Miriam Wall is 205 S J T Stites, Sallisaw, OK and can be reached out via phone at 918-775-7787.

Location: 205 S J T Stites, Sallisaw, OK, 74955-9301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619383783
Provider Name
Miriam Wall
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 S J T Stites, Sallisaw, OK, 74955-9301
Phone Number
918-775-7787
Fax Number
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 S J T Stites
City
Sallisaw
State
Oklahoma
Zip
74955-9301
Phone Number
918-775-7787
Fax Number
person
Provider Business Mailing Address Details
Address
205 S J T Stites
City
Sallisaw
State
Oklahoma
Zip
74955-9301
Phone Number
918-775-7787
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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