Individual
HAYLEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 S GIN RD, ATOKA, OK 74525-7348
(405) 751-8889
Mailing address
1410 S GIN RD, ATOKA, OK 74525-7348
(405) 751-8889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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