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Individual

MR. REAGON PERCY CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4100 GOSS RD SW, USA MEDDAC ATTN: CREDENTIALS, HUNTSVILLE, AL 35809-0001
(256) 955-8888
Mailing address
4100 GOSS ROAD, USA MEDDAC ATTN: CREDENTIALS, REDSTONE ARSENAL, AL 35809-7000
(913) 240-4433

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005622
MO

Other

Enumeration date
01/26/2006
Last updated
06/11/2013
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