Individual
CAROL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 E PINE ST, HASKELL, OK 74436
(918) 482-3883
(918) 482-3883
Mailing address
PO BOX 863, HASKELL, OK 74436-0863
(918) 482-3883
(918) 482-3883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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