Individual
CARRIE BRADLEY MILDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 424-7711
Mailing address
8801 NW 115TH ST, OKLAHOMA CITY, OK 73162-2209
(405) 973-8877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
04/20/2022
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