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Individual

CARRIE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
155 SILVER ST, SUITE# 6, WATERVILLE, ME 04901-5813
(207) 680-5858
Mailing address
336 BEECH HILL RD, NORRIDGEWOCK, ME 04957-3453
(207) 680-5858

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4643
ME

Other

Enumeration date
01/06/2014
Last updated
01/06/2014
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