Individual
MR. CHRIS C CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
215 N 2ND ST, CHEROKEE, IA 51012-1833
(712) 225-2811
Mailing address
PO BOX 822, 215 NORTH 2ND ST., CHEROKEE, IA 51012-0822
(712) 225-2811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04697
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32056
BC/BS
IA
Enumeration date
10/24/2006
Last updated
02/07/2008
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