Individual
GARY D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A043
TRICARE
WA
Enumeration date
01/23/2007
Last updated
07/08/2007
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