Individual
CARRIE NORDMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14625 NE 23RD ST, CHOCTAW, OK 73020-8728
(405) 390-8131
(405) 390-8134
Mailing address
PO BOX 695, CHOCTAW, OK 73020-0695
(405) 390-8131
(405) 390-8134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2013
Last updated
01/05/2013
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