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Individual

SHARLA CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3840 HULEN ST, FT WORTH, TX 76107-7277
(817) 569-4523
Mailing address
3840 HULEN ST, FT WORTH, TX 76107-7277
(817) 569-4523

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201880
TX
106H00000X
Marriage & Family Therapist
354
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200437800A
KS
Enumeration date
09/24/2006
Last updated
07/24/2013
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