Individual
DEBORAH A CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2443 CS 2970, BLANCHARD, OK 73010-5305
(405) 237-9274
Mailing address
2443 CS 2970, BLANCHARD, OK 73010-5305
(405) 237-9274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7442
OK
1041C0700X
Clinical Social Worker
Primary
20394
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16094581
CAQH
OK
Enumeration date
07/02/2021
Last updated
11/11/2024
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