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General NPI Number Information
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NPI Number | 1093983835
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Entity Type | Organization
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Legal Business Name | CARTER COUNSELING, LLC
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 19 E. WALNUT SUITE G
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-441-2900
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Fax | 573-441-2902
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Provider Business Mailing Address
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Address Line | 19 E WALNUT ST SUITE G
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City | COLUMBIA
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State | MO
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Zip | 65203-4505
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Country | US
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Telephone | 573-441-2900
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Fax | 573-441-2902
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. DANA MAE CARTER
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Credential | LCSW
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Telephone | 573-441-2900
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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 |
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License Number State |
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