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Individual

CARISSA O'DELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
14607 S WACO AVE, GLENPOOL, OK 74033-4312
(580) 235-7557
(580) 235-7557
Mailing address
14607 S WACO AVE, GLENPOOL, OK 74033-4312
(580) 235-7557
(580) 235-7557

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20423-P
OK

Other

Enumeration date
05/19/2016
Last updated
08/15/2023
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