Individual
MARCUS E CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2660 EASTMAN AVE SE, ALBUQUERQUE, NM 87106-9716
(505) 508-3295
Mailing address
2660 EASTMAN AVE SE, ALBUQUERQUE, NM 87106-9716
(505) 508-3295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10997
NM
1041S0200X
School Social Worker
391830
NM
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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