Individual
CARMEN ELISA CARUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6225
NC
106S00000X
Behavior Technician
RBT-17-31331
—
Other
Enumeration date
08/03/2017
Last updated
11/01/2022
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