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Individual

MR. JOHN ROBERT CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1305 WIMBLEDON WAY, CHARLOTTESVILLE, VA 22901-0632
(301) 697-5630
Mailing address
1305 WIMBLEDON WAY, CHARLOTTESVILLE, VA 22901-0632
(301) 697-5630

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/26/2022
Last updated
01/26/2022
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