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Individual

JEREMY CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 MEGHAN LANE, JUDSONIA, AR 72081
(501) 729-1672
(501) 729-3537
Mailing address
120 MEGHAN LANE, JUDSONIA, AR 72081
(501) 729-1672
(501) 729-3537

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1211097
AR
106H00000X
Marriage & Family Therapist
A1211006
AR

Other

Enumeration date
06/03/2013
Last updated
06/03/2013
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