Angela Carroll

NPI #1396055893 in Durant, Oklahoma

Provider Information

NPI Number: 1396055893
Entity Type: Individual
Name: Angela Carroll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 18, 2010
Last Updated: Oct 18, 2010

Practice Location

Address: 715 N 1ST AVE
City: Durant
State: Oklahoma
ZIP Code: 74701-3801
Phone: (580) 931-3008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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