Individual
MARY ANN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
286 S 600 E STE C, PROVO, UT 84606-4780
(801) 318-8634
(801) 377-0930
Mailing address
1936 W 140 S, OREM, UT 84059-2663
(801) 318-8634
(801) 377-0930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5909660-3501
UT
1041C0700X
Clinical Social Worker
59096603502
UT
Other
Enumeration date
03/23/2006
Last updated
03/15/2019
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