Individual
CARTER WESLEY BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 PEACHTREE BLVD, RICHMOND, VA 23226-1136
(804) 288-1788
(804) 288-1644
Mailing address
1007 PEACHTREE BLVD, RICHMOND, VA 23226-1136
(804) 288-1788
(804) 288-1644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205702850
TAX ID
VA
Enumeration date
06/01/2022
Last updated
06/01/2022
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