Individual
CARSON ELIZABETH MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 N PLUM ST, MCALESTER, OK 74501-2106
(918) 916-5509
Mailing address
PO BOX 3356, MCALESTER, OK 74502-3356
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
12/13/2024
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