Individual
MR. JAMES ANDREW CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2950 E MAGIC VIEW DR, SUITE 140, MERIDIAN, ID 83642-3154
(208) 794-6455
Mailing address
2950 E MAGIC VIEW DR, SUITE 140, MERIDIAN, ID 83642-3154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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