Individual
CARSON PAIGE KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM II
Contact information
Practice address
1625 W OWEN K GARRIOTT RD STE F, ENID, OK 73703-5653
(580) 747-6782
(580) 242-4679
Mailing address
1625 W OWEN K GARRIOTT RD STE F, ENID, OK 73703-5653
(580) 747-6782
(580) 242-4679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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