Individual
MRS. MARY B CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CEAP
Contact information
Practice address
5384 POPLAR AVE, STE 105, MEMPHIS, TN 38119
(901) 762-0383
Mailing address
5384 POPLAR AVE, STE 105, MEMPHIS, TN 38119
(901) 762-0383
(901) 762-0385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00000599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3690033
—
TN
Enumeration date
11/01/2006
Last updated
07/08/2007
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