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1720591944
CARRIE LOUISE DITMORE
CHICKASHA, OK
NPI
1720591944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-09
Last Update Date
2020-01-28
Business Address
CARRIE LOUISE DITMORE
804 W CHOCTAW AVE
CHICKASHA, OK 73018-2310
Phone number: 405-222-0622
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Mailing Address
CARRIE LOUISE DITMORE
PO BOX 136
AMBER, OK 73004-0136
Phone number: 405-779-5025
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