Individual
DANELLE CARMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1203 W MAIN ST, YUKON, OK 73099-4324
(405) 209-9098
Mailing address
15400 N MUSTANG RD, PIEDMONT, OK 73078-9694
(405) 209-9098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2671
OK
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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