MR. John Carroll, LCSW-R

NPI #1083794838 in New Hartford, New York

Provider Information

NPI Number
1083794838
Entity Type
Individual
Name
MR. John Carroll, LCSW-R
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW-R
Enumeration Date
Oct 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4277 MIDDLE SETTLEMENT RD
ZIP Code
13413-5315
Phone
(315) 735-6484

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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