Individual
KAYLA NICOLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 S HUMPHREY AVE UNIT 2N, OAK PARK, IL 60304-2444
(404) 915-8033
Mailing address
928 S HUMPHREY AVE UNIT 2N, OAK PARK, IL 60304-2444
(404) 915-8033
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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