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Individual

LAWRENCE JESSE CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.S.W. INTERN

Contact information

Practice address
775 FLEISCHMANN WAY, CARSON CITY, NV 89703-2995
(775) 445-7373
Mailing address
1861 11TH ST, SPARKS, NV 89431-3014
(775) 331-5364

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5827-S
NV

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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