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Individual

MISS DASHA CARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
120 W 7TH ST STE 108, BLOOMINGTON, IN 47404-3835
(812) 269-6966
Mailing address
2715 S BOARDWALK CIR APT 308, BLOOMINGTON, IN 47403-3499
(314) 853-8105

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
99116812A
IN

Other

Enumeration date
02/23/2023
Last updated
02/23/2023
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