Individual
ISAAC JUAREZ CARCOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
13504 BRAMPTON WAY, YUKON, OK 73099-6591
(405) 740-7134
Mailing address
2020 N BRIARCLIFF AVE, BETHANY, OK 73008-5657
(405) 740-7134
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
OK
Other
Enumeration date
01/31/2012
Last updated
04/26/2024
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