Individual
OLIVIA MICHELLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(844) 458-2100
Mailing address
1700 POND RD, GROVE, OK 74344-5144
(918) 978-0506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
202302925
MO
104100000X
Social Worker
Primary
21644
OK
Other
Enumeration date
06/23/2023
Last updated
08/26/2025
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