Individual
CRYSTAL MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3614 W NORTH AVE, PONCA CITY, OK 74601-7726
(209) 405-1740
Mailing address
3614 W NORTH AVE, PONCA CITY, OK 74601-7726
(209) 405-1740
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
OK
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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