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Individual

DESHAE GUSELLA CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2708 NE 14TH STREET, SUITE 5, POMPANO, FL 33062
(888) 880-9270
Mailing address
3509 LAKE AVE, APT 1151, COLUMBIA, SC 29206-5606
(803) 450-9018
(803) 497-3757

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
100346182
SC

Other

Enumeration date
03/20/2012
Last updated
03/20/2012
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