Individual
KENDRICK CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3341 DUKE ST, ALEXANDRIA, VA 22314-5219
(540) 922-1110
Mailing address
485 HARBOR SIDE ST APT 206, WOODBRIDGE, VA 22191-5457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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