Provider Information for 1225311137
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TAMARA J CARTER LPC
Sex: Female
NPI: 1225311137
Last Updated: 2021-12-22
Certification Date: 2021-12-22
Certification Date: 2021-12-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225311137 | ||||||||
| Enumeration Date | 2011-09-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1555 INDUSTRIAL DR OWOSSO, MI 48867-9775 United States Phone: 989-213-4430 | Fax:989-725-5061 | ||||||||
| Primary Practice Address | 1555 INDUSTRIAL DR OWOSSO, MI 48867-9775 United States Phone: 989-723-6791 | Fax:989-725-5061 | ||||||||
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