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Individual

JENNY CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 616-8469
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64187
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64187
LMSW
TX
Enumeration date
04/12/2018
Last updated
04/12/2018
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