MR. John William Carroll, LCSW

NPI #1154514958 in Viera, Florida

Provider Information

NPI Number
1154514958
Entity Type
Individual
Name
MR. John William Carroll, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 24, 2007
Last Updated
Aug 24, 2007

Practice Location

Address
2900 VETERANS WAY
City
Viera
State
Florida
ZIP Code
32940-8007
Phone
(321) 637-3788

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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