Organization
THEDOSHIA CARTER AFC#1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THEDOSHIA CARTER (PROVIDER)
(313) 933-1956
Entity
Organization
Contact information
Practice address
8505 PLYMOUTH RD, DETROIT, MI 48204-1905
(313) 933-1956
(313) 933-1956
Mailing address
8505 PLYMOUTH RD, DETROIT, MI 48204-1905
(313) 933-1956
(313) 933-1956
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
MI
Other
Enumeration date
10/31/2006
Last updated
07/21/2022
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