Individual
SELENA REGENE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
PO BOX 162, MADISON, AL 35758-0162
(256) 714-0524
Mailing address
PO BOX 162, MADISON, AL 35758-0162
(256) 714-0524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6379C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
05/18/2017
Last updated
08/22/2025
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