Miranda Lee Frazer, FSP
NPI #1578830980 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1578830980
- Entity Type
- Individual
- Name
- Miranda Lee Frazer, FSP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- FSP
- Enumeration Date
- Nov 30, 2011
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 512 E 24TH ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460
- Phone
- (580) 622-2783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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