Individual
CORVETTA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
2133 HWY 33, LANGSTON COMMONS APT 15H, LANGSTON, OK 73050-0400
(405) 612-6740
Mailing address
PO BOX 412, LANGSTON, OK 73050-0412
(405) 612-6740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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