Individual
KEVIN RANDALL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
4510 FRANKFORD AVE, 2ND FLOOR, PHILADELPHIA, PA 19124-3602
(215) 831-9882
(215) 831-9887
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019126
PA
Other
Enumeration date
09/13/2007
Last updated
04/05/2017
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