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Individual

SUSAN P CARTER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
1740 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3110
(985) 727-0097
(985) 727-5006
Mailing address
270 GARDEN AVE, MANDEVILLE, LA 70471-2910
(985) 626-8474

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z11102
LA

Other

Enumeration date
05/12/2006
Last updated
07/08/2007
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