Individual
ASHLEIGH BLAINE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S 17TH ST, CLINTON, OK 73601-4236
(580) 323-0312
Mailing address
602 AVENUE B, BEAVER, OK 73932-3137
(580) 625-4942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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