Individual
BLAKE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
2420 LINWOOD DR, PARAGOULD, AR 72450-6122
(870) 236-5880
Mailing address
2420 LINWOOD DR, PARAGOULD, AR 72450-6122
(870) 236-5880
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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