Carolyn Michelle Carter-Clark

NPI #1669774451 in Grants, New Mexico

Provider Information

NPI Number
1669774451
Entity Type
Individual
Name
Carolyn Michelle Carter-Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Nov 30, 2010
Last Updated
Nov 30, 2010

Practice Location

Address
700 E ROOSEVELT AVE STE 18
City
Grants
ZIP Code
87020-2178
Phone
(505) 876-1890

Specialties & Taxonomy Codes

Specialty
Counselor

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