LACEY DAWN CARROLL

SAMARITAN COUNSELING AND GROWTH CENTER, INC.

Dr LACEY DAWN CARROLL is a female medical professional, specializing in Clinical Social Worker. She graduated in 2011.

Contact

SAMARITAN COUNSELING AND GROWTH CENTER, INC.

245 S E MADISON BLVD
BARTLESVILLE
OK
740062822

Tel: 9183361463

LACEY DAWN CARROLL Information

Npi 1780910554
Pac Id 9931476256
Professional Enrollment Id I20170517000480
Last Name CARROLL
First Name LACEY
Middle Name DAWN
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SAMARITAN COUNSELING AND GROWTH CENTER, INC.
Group Practice Pac Id 8325017262
Number Of Group Practice Members 3
Line 1 Street Address 245 S E MADISON BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BARTLESVILLE
State OK
Zip Code 740062822
Phone Number 9183361463
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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