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Individual

INDONESIA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
331 GAMBRILLS RD STE 4B, GAMBRILLS, MD 21054-1141
(443) 569-8882
(410) 697-3436
Mailing address
331 GAMBRILLS RD STE 4B, GAMBRILLS, MD 21054-1141
(443) 569-8882

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/30/2021
Last updated
09/02/2021
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