Individual
CARRIE L MINIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 CUSHMAN ST STE 4F, FAIRBANKS, AK 99701-4665
(907) 978-1943
(360) 838-4806
Mailing address
700 SLEATER KINNEY RD SE STE B189, LACEY, WA 98503-1150
(907) 978-1943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
209409
AK
1041C0700X
Clinical Social Worker
LW61509337
WA
1041C0700X
Clinical Social Worker
TPSW4575
FL
Other
Enumeration date
12/01/2020
Last updated
11/07/2024
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