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Individual

SUSAN CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPSW

Contact information

Practice address
1421 LUISA ST STE Q, SANTA FE, NM 87505-4073
(214) 914-6487
Mailing address
14 MILLERS END, SANTA FE, NM 87508-9405
(214) 914-6487

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
623
NM

Other

Enumeration date
08/15/2024
Last updated
08/15/2024
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