Individual
SAMANTHA RAE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4578 S HIGHLAND DR STE 380, MILLCREEK, UT 84117-4204
(609) 954-6176
Mailing address
7394 S UNION CREEK WAY APT 13H, MIDVALE, UT 84047-5915
(609) 954-6176
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
12201242-3501
UT
Other
Enumeration date
01/23/2020
Last updated
01/03/2023
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