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Individual

DAMIAH MONAE CARTER

Active
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Individual

DAMIAH MONAE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA
3747A0650X
Attendant Care Provider
Primary
F1337780
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2104214
CA
05
5302012
CA
Enumeration date
03/11/2020
Last updated
05/11/2026
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