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Data Detail

Name: Mark  Carpenter 

Designation: Ph.D.

Issue Date: 6/20/1997

Expiration Date: 6/30/2024

License Number: 35-587

Disciplinary Action: None

Company:

City: Bay Saint Louis

State: MS

Zip: 39520

Work Phone: (228) 216-1458  Ext:

Civil Commitment Certification: