Individual
CARRIE ELAINE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7372 E 293RD ST S, PORUM, OK 74455-5660
(918) 617-1259
Mailing address
7372 E 293RD ST S, PORUM, OK 74455-5660
(918) 617-1259
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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