Individual
CHELSEA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM1
Contact information
Practice address
9420 RED MAN RD., RAVIA, OK 73455-0061
(580) 371-7328
Mailing address
9420 RED MAN RD., RAVIA, OK 73455-0061
(580) 371-7328
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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