John-Paul Carroll Lcsw Pllc
NPI #1316661317 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1316661317
- Entity Type
- Organization
- Organization Name
- John-Paul Carroll Lcsw Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 3, 2022
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 205 SIOUX ST
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-3529
- Phone
- (631) 972-7016
Authorized Official
- Name
- JOHN PAUL CARROLL, LCSW-R
- Title
- OWNER
- Phone
- (631) 972-7016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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