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Individual
MS. LAUREN CARTER
Active
Individual
MS. LAUREN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0007251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2736267
—
OH
01
—
45-0486565
IRS TAX IDENTIFICATION NUMBER
OH
05
—
CARESOURCE 450486565
—
OH
Enumeration date
06/12/2006
Last updated
08/20/2013
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