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Individual
TINA L CARSON
Active
Individual
TINA L CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO15807
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922687722
—
NC
Enumeration date
04/07/2021
Last updated
11/29/2021
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