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General NPI Number Information
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NPI Number | 1013446145
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Entity Type | Organization
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Legal Business Name | CARTER'S COUNSELING SERVICES, PLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 1035 LINCOLN RD STE 209
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City | BETTENDORF
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State | IA
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Zip | 52722-4149
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Country | US
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Telephone | 563-570-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 LINCOLN RD STE 209
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City | BETTENDORF
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State | IA
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Zip | 52722-4149
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CHRISTY CARTER
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Credential | MSW, LISW
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Telephone | 563-570-7699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 02638
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License Number State | IA
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