Individual
ANGELA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N 1ST AVE, DURANT, OK 74701-3801
(580) 931-3008
Mailing address
715 N 1ST AVE, DURANT, OK 74701-3801
(580) 931-3008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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