Individual
CAROLINE GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 424-7711
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
11/30/2023
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