Individual
SABRE CARLILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15565 SE 15TH ST, CHOCTAW, OK 73020-7004
(405) 606-9083
Mailing address
15565 SE 15TH ST, CHOCTAW, OK 73020-7004
(405) 606-9083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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