Individual
MRS. CARLA WOODFORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSS
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 858-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/10/2016
Last updated
10/13/2017
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