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Individual

ERIN LEE CARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
108 S. FIRECRACKER LN, FORT GIBSON, OK 74434
(918) 896-1113
Mailing address
108 S. FIRECRACKER LN, FORT GIBSON, OK 74434
(918) 896-1113

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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