Stephanie Carter
Social Worker, Clinical in Fremont, CA. Individual provider (NPI-1).
NPI number1124590971
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1124590971
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Carter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2018
- Certification date
- Dec 21, 2023
- Last updated
- Dec 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS22629 | CA | Yes |
Practice location
39159 Paseo Padre Pkwy Ste 121Fremont, CA 94538-1600
Phone 858-228-7667
Mailing address
11160 Rancho Carmel Dr Ste 106San Diego, CA 92128-4674
Phone 858-228-7667
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