Provider Demographics
NPI:1356738413
Name:SCHLESNER, CARRIE ANN
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ANN
Last Name:SCHLESNER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CARRIE
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:417 W. KEYWEST STREET
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011
Mailing Address - Country:US
Mailing Address - Phone:918-269-0958
Mailing Address - Fax:
Practice Address - Street 1:417 W KEYWEST ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-4826
Practice Address - Country:US
Practice Address - Phone:918-269-0958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker