Individual
DOMINIK LECARR CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
297 INDEPENDENCE BLVD STE 300, VIRGINIA BEACH, VA 23462-2911
(757) 385-0850
Mailing address
297 INDEPENDENCE BLVD STE 300, VIRGINIA BEACH, VA 23462-2911
(757) 305-0835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906013366
VA
Other
Enumeration date
06/06/2023
Last updated
06/12/2023
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