Individual
KEZIA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26441 CATAWBA DR, PERRYSBURG, OH 43551-5707
(419) 704-2963
Mailing address
26441 CATAWBA DR, PERRYSBURG, OH 43551-5707
(419) 279-8307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2001745
OH
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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