Individual
MRS. LACEY DAWN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
245 S MADISON BLVD, BARTLESVILLE, OK 74006-2822
(918) 336-1463
(918) 331-9717
Mailing address
245 S MADISON BLVD, BARTLESVILLE, OK 74006-2822
(918) 336-1463
(918) 331-9717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4937
OK
Other
Enumeration date
10/28/2009
Last updated
04/26/2017
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