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NPI Profile for MIRANDA D BOWMAN in ARDMORE, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X |
| NPI # | 1215574603 |
|
| Status | Active | |
| Credentials | MSHR CRC NCC LPC | |
| Entity | Individual | |
| Enumeration date | 12/04/2019 | |
| Last updated | 10/27/2025 - About 7 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MIRANDA D BOWMAN
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MIRANDA D BOWMAN, MSHR CRC NCC LPC