Individual
CARLETTA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA IN PSYCHOLOGY
Contact information
Practice address
9613 S ALLEN DR, OKLAHOMA CITY, OK 73139-5303
(405) 414-3673
Mailing address
9613 S ALLEN DR, OKLAHOMA CITY, OK 73139-5303
(405) 414-3673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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