Individual
MRS. CAROL MATHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
212 E 2ND ST, EDMOND, OK 73034-4560
(405) 820-6231
Mailing address
212 E 2ND ST, EDMOND, OK 73034-4560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3315
OK
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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