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Individual

MR. GARY MILLER CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
5850 TOWN & COUNTRY BLVD, SUITE 801, FRISCO, TX 75034-6953
(972) 377-4357
Mailing address
3408 RADCLIFFE DR, PLANO, TX 75093-7140
(972) 377-4357

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12089
TX

Other

Enumeration date
09/03/2006
Last updated
03/30/2010
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