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Individual

MARY CARMICHAEL CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1518 E LANCASTER AVE, FORT WORTH, TX 76102-6718
(469) 693-9354
(817) 255-7166
Mailing address
1518 E LANCASTER AVE, FORT WORTH, TX 76102-6718
(469) 693-9354
(817) 255-7166

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
52414
TX

Other

Enumeration date
02/12/2013
Last updated
02/12/2013
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