Individual
MRS. DEETTA M ROBERSON CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
17 WARREN ROAD, SUITE 25A, PIKESVILLE, MD 21208
(410) 701-0770
(443) 279-2916
Mailing address
17 WARREN ROAD, SUITE 25A, PIKESVILLE, MD 21208
(410) 701-0770
(443) 279-2916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17501
MD
104100000X
Social Worker
G12345
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220218200
—
MD
01
—
AJ47
CAREFIRST BCBS
MD
Enumeration date
11/17/2010
Last updated
08/12/2013
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