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Individual

CARLA J MCAULIFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, LADC

Contact information

Practice address
1251 N. BROADWAY, SUITE C, EDMOND, OK 73034
(405) 341-3554
(405) 341-3511
Mailing address
1308 N. BROAD STREET, GUTHRIE, OK 73044
(405) 863-8854

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3574
OK

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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