Individual
CARRIE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 NE 25TH ST, OKLAHOMA CITY, OK 73105-7804
(405) 835-4047
Mailing address
PO BOX 53065, OKLAHOMA CITY, OK 73152-3065
(405) 835-4047
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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