Carol Lynn Canby
NPI #1215498688 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1215498688
- Entity Type
- Individual
- Name
- Carol Lynn Canby
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 2311 W NASHVILLE PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4725
- Phone
- (918) 607-9234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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