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MR. CARY BRENT CARTER LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295751766

Individual Registrant:
MR. CARY BRENT CARTER LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
115 S 3RD ST  HEBER SPRINGS, AR 72543-3805 US
Tel: 501-206-0831  Fax: 501-206-0865

Contact information for business:
110 SKYLINE DR  RUSSELLVILLE, AR 72801-3362 US
Tel: 479-967-5570  Fax: 479-890-5364

Registration Information:
NPI: 1295751766
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AR230434719

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
230434719AR05




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