Individual
MISS CAROLYN MARAK CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1500 BRAGG BLVD, STE 201, FAYETTEVILLE, NC 28301-4289
(910) 323-1065
(910) 323-1144
Mailing address
1500 BRAGG BLVD, STE 201, FAYETTEVILLE, NC 28301-4289
(910) 323-1065
(910) 323-1144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C000366
NC
1041C0700X
Clinical Social Worker
Primary
LCS 14865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002227
—
NC
Enumeration date
07/06/2005
Last updated
12/31/2007
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