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Individual

MRS. CHERILYN ELAINE CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW/LSW MA/LPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003217
MI
1041C0700X
Clinical Social Worker
6802060490
MI

Other

Enumeration date
04/29/2014
Last updated
04/29/2014
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