Individual
CHAQUANA RENEE' CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 RIDGEBEND DR, CENTERVILLE, GA 31028-1601
(706) 474-3948
Mailing address
119 RIDGEBEND DR, CENTERVILLE, GA 31028-1601
(706) 474-3948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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