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Individual

AMANDA C CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(800) 828-5659
Mailing address
194 MALVERN LAKES CIR APT 202, FREDERICKSBURG, VA 22406-7261
(703) 568-2793

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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