Individual
JULIE B CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
801 E MAIN ST, TISHOMINGO, OK 73460-2351
(580) 371-3799
(580) 371-2056
Mailing address
5601 W COUNTRY LN, TISHOMINGO, OK 73460-4503
(580) 371-3376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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