Mirissa Joy Beavers
NPI #1013553163 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1013553163
- Entity Type
- Individual
- Name
- Mirissa Joy Beavers
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 25, 2019
- Last Updated
- Apr 2, 2025
Practice Location
- Address
- 4400 N LINCOLN BLVD
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73105-5104
- Phone
- (405) 638-0961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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