| Carpenter Lcsw Pllc | |
|
1212 S Air Depot Blvd Ste 19a Midwest City OK 73110-4873 | |
| (405) 343-1585 | |
| Not Available |
| Full Name | Carpenter Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1212 S Air Depot Blvd Ste 19a, Midwest City, Oklahoma |
| Authorized Official Name and Position | Craig Alan Carpenter (LCSW/OWNER) |
| Authorized Official Contact | 4053431585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carpenter Lcsw Pllc 1212 S Air Depot Blvd Ste 19a Midwest City OK 73110-4873 Ph: (405) 343-1585 | Carpenter Lcsw Pllc 1212 S Air Depot Blvd Ste 19a Midwest City OK 73110-4873 Ph: (405) 343-1585 |
| NPI Number | 1114551900 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114551900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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