Individual
DEANDREA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HOLIDAY COVE DR, MONROE, LA 71203-1901
(903) 316-6218
Mailing address
201 HOLIDAY COVE DR, MONROE, LA 71203-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8367
LA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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