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Individual

SARAH JULIA CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
7171 SE TIMBERLAKE CT., HOLT, MO 64048-8614
(802) 371-9714
(970) 549-8008
Mailing address
7171 SE TIMBERLAKE CT., HOLT, MO 64048-8614
(802) 371-9714
(970) 549-8008

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2021015005
MO
235Z00000X
Speech-Language Pathologist
6372
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003190
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000171954
CO
Enumeration date
11/29/2017
Last updated
07/12/2021
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