Individual
MCKENZIE CLAIR CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
818 4TH AVE, GRINNELL, IA 50112-2041
(641) 236-1644
Mailing address
818 4TH AVE, GRINNELL, IA 50112-2041
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
080978
IA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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