Individual
MARY LYNNE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004794A
IN
1041S0200X
School Social Worker
Primary
34004794A
IN
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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