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Individual

KATERI MARIE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
1400 SUDDERTH DRIVE, RUIDOSO, NM 88345-6103
(575) 630-0571
(575) 630-0574
Mailing address
1400 SUDDERTH DRIVE, RUIDOSO, NM 88345-6103
(575) 630-0571
(575) 630-0574

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM

Other

Enumeration date
03/30/2020
Last updated
04/10/2020
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