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Individual
MR. CARLTON L CONWELL
Active
Individual
MR. CARLTON L CONWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
10/10/2018
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