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Individual

DEJANEARA-JEANNETTE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
12401 E 43RD ST S STE 121, INDEPENDENCE, MO 64055-5925
(816) 500-6436
Mailing address
5531 VIRGINIA AVE, KANSAS CITY, MO 64110-2851
(209) 681-7123

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023042115
MO

Other

Enumeration date
07/08/2025
Last updated
09/11/2025
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