Individual
CARRIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38137 CABIN TRL, SHAWNEE, OK 74804-8601
(405) 214-8318
Mailing address
38137 CABIN TRL, SHAWNEE, OK 74804-8601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2614
OK
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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