Michelle Carroll, LICSW, BCD

NPI #1194880666 in Ft Meade, Maryland

Provider Information

NPI Number: 1194880666
Entity Type: Individual
Name: Michelle Carroll, LICSW, BCD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW, BCD
Enumeration Date: Dec 26, 2006
Last Updated: Jan 10, 2022

Practice Location

Address: KIMBROUGH AMBULATORY CARE CENTER
Address 2: 2480 LLEWELLYN AVE.
City: Ft Meade
State: Maryland
ZIP Code: 20755
Phone: (301) 677-8270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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