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Provider Information for 1205250438


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KATIE CARTER LLMSW


Sex: Female

NPI: 1205250438
Last Updated: 2023-05-08
Certification Date: 2023-05-08

Details

NameValue
NPI1205250438
Enumeration Date2014-02-07
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5430 MUSTANG DRIVE
NEWPORT, MI 48166-9754
United States

Phone: 734-755-1151 | Fax:
 
Primary Practice Address 1001 S RAISINVILLE RD
MONROE, MI 48161-9754
United States

Phone: 734-243-7340 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker MI6802087376