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General NPI Number Information
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NPI Number | 1306208269
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Entity Type | Organization
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Legal Business Name | CAROLYN MCELROY COUNSELING LLC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 401 S LAYTON AVE
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City | DRUMRIGHT
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State | OK
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Zip | 74030-4021
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Country | US
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Telephone | 918-729-2026
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Fax | 918-514-7504
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Provider Business Mailing Address
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Address Line | PO BOX 1261
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City | DRUMRIGHT
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State | OK
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Zip | 74030-1261
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Country | US
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Telephone | 918-729-2026
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Fax | 918-514-7504
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Authorized Official
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Title or Position | CEO
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Name | CAROLYN C MCELROY
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Credential | LCSW
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Telephone | 918-729-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3539
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License Number State | OK
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