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Individual
LORALEE ANN CARTER
Active
Individual
LORALEE ANN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15212
MN
1041C0700X
Clinical Social Worker
2707
WI
1041C0700X
Clinical Social Worker
66407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024K8CA
BLUE CROSS BLUE SHIELD
MN
05
—
858247500
—
MN
Enumeration date
12/01/2006
Last updated
06/18/2015
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