Individual
MR. CARTER LEE SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-A
Contact information
Practice address
1324 COLTRANE MILL RD, RANDLEMAN, NC 27317-8020
(336) 674-6293
Mailing address
1324 COLTRANE MILL RD, RANDLEMAN, NC 27317-8020
(336) 674-6293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302093
—
NC
Enumeration date
07/02/2014
Last updated
07/02/2014
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