Individual
JERRELL LAVON CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
512 2ND ST, AYDEN, NC 28513-7202
(252) 531-4188
Mailing address
512 2ND ST, AYDEN, NC 28513-7202
(252) 531-4188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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