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Individual

DANASIA D CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 587-9471
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/31/2019
Last updated
09/13/2022
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