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Individual

MS. LISA MARIE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, MSW, LICSW

Contact information

Practice address
3200 NE 109TH AVE, VANCOUVER, WA 98682-7749
(360) 695-1014
(360) 750-1374
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L2652
OR
1041C0700X
Clinical Social Worker
Primary
LW00006230
WA

Other

Enumeration date
03/29/2007
Last updated
10/06/2022
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