Individual
MR. ALLEN CARTER ETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
BOILER HOUSE ROAD, BUILDING 80H, PERRY POINT, MD 21902
(410) 642-2411
Mailing address
8 HEATHER CT, NEWARK, DE 19711-2768
(410) 642-2411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03930
MD
Other
Enumeration date
09/22/2006
Last updated
08/24/2009
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