Individual
CAROL BAUSTERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S. , L.P.C.
Contact information
Practice address
3508 NW 50TH ST, OKLAHOMA CITY, OK 73112-5630
(405) 943-1281
(405) 943-1281
Mailing address
3508 NW 50TH ST, OKLAHOMA CITY, OK 73112-5630
(405) 943-1281
(405) 943-1281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2182
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7944221
AETNA INSURANCE
OK
Enumeration date
06/13/2006
Last updated
07/08/2007
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