Individual
KATHLEEN GANNON CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8 BROOKES AVE STE 200, GAITHERSBURG, MD 20877-2799
(301) 318-1133
Mailing address
8 BROOKES AVE STE 200, GAITHERSBURG, MD 20877-2799
(301) 318-1133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23352
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1246815
—
MD
Enumeration date
05/08/2021
Last updated
05/08/2021
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