Individual
KAITLIN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4433
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4433
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1267804
IL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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