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Individual
CORY DEAN CARPENTER
Active
Individual
CORY DEAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCSW, CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
152
WY
1041C0700X
Clinical Social Worker
Primary
PCSW-843
WY
Other
Enumeration date
12/02/2011
Last updated
06/05/2019
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