Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 11290 | MD |
NPI | 1366906273 |
---|---|
Provider Name | Forie Carter |
First Address | Pikesville, MD 21208-2122 |
Second Address | Pikesville, MD 21208-6320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2019 |
Last Update Date | 24/01/2019 |