Provider Demographics
NPI:1861939605
Name:CURTIS, CARRIE (BSW,CMII)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:BSW,CMII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68703 S 4710 RD
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965-7168
Mailing Address - Country:US
Mailing Address - Phone:918-723-3912
Mailing Address - Fax:
Practice Address - Street 1:68703 S 4710 RD
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:OK
Practice Address - Zip Code:74965-7168
Practice Address - Country:US
Practice Address - Phone:918-723-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator