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Provider Information for 1164681169


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JUANITA CARTER LCSW


Sex: Female

NPI: 1164681169
Last Updated: 2019-07-25
Certification Date:

Details

NameValue
NPI1164681169
Enumeration Date2008-06-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 395
CLINTON, LA 70722-0395
United States

Phone: 225-683-5292 | Fax:225-683-1310
 
Primary Practice Address 29437 HWY 63, STE. 14
LIVINGSTON, LA 70754
United States

Phone: 225-283-1356 | Fax:225-283-1705
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)LA6117Louisiajna State Board of Social Workers
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalLA6117