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1336928787
LATWAN CARPENTER
PORTSMOUTH, VA
NPI
1336928787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-25
Last Update Date
2023-10-19
Business Address
LATWAN CARPENTER Dr. DHS QMHPA MATC
1717 HOLLADAY ST
PORTSMOUTH, VA 23704-2015
Phone number: 757-920-2765
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Mailing Address
LATWAN CARPENTER Dr. DHS QMHPA MATC
1717 HOLLADAY ST
PORTSMOUTH, VA 23704-2015
Phone number: 757-966-1270
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