Individual
CARRIE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7850
Mailing address
3230 WISCONSIN AVE, JOPLIN, MO 64804-4029
(417) 347-7850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017028263
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/30/2012
Last updated
11/12/2018
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