Individual
AMBRIA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
249 ROOSEVELT AVE STE 205, PAWTUCKET, RI 02860-2134
(401) 729-8701
Mailing address
249 ROOSEVELT AVE STE 205, PAWTUCKET, RI 02860-2134
(317) 435-3413
(401) 724-8488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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