Individual
KAYLA POWERS CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Mailing address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11134-123
WI
Other
Enumeration date
12/11/2020
Last updated
12/13/2024
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