Individual
MRS. KARLA LEA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 SE 3RD ST, ANTLERS, OK 74523-4239
(580) 298-3361
(580) 298-2129
Mailing address
PO BOX 795, ANTLERS, OK 74523-0795
(580) 298-3361
(580) 298-2129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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