Individual
CRYSTAL D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1549
(414) 453-1400
(414) 453-3389
Mailing address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1549
(414) 453-1400
(414) 453-3389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7442-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43715600
—
WI
Enumeration date
12/02/2008
Last updated
12/02/2008
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