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Individual

CARTER MARK METHVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2008 HASLEY DR, THE VILLAGE, OK 73120-4916
(405) 620-7012
Mailing address
2008 HASLEY DR, THE VILLAGE, OK 73120-4916
(405) 620-7012

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK

Other

Enumeration date
05/01/2025
Last updated
05/01/2025
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