Individual
MS. CAROL IZELL HENSLEY-CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 361-3275
Mailing address
329 E 17TH ST, CLAREMORE, OK 74017-3107
(918) 361-3275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3669
OK
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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