Carroll Martin Lcsw - LLC

NPI #1659039121 in Aldie, Virginia

Provider Information

NPI Number: 1659039121
Entity Type: Organization
Organization Name: Carroll Martin Lcsw - LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CARROLL MARTIN LCSW - LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 2, 2021
Last Updated: Dec 2, 2021

Practice Location

Address: 41631 OLIVINE PL
City: Aldie
State: Virginia
ZIP Code: 20105-5682
Phone: (703) 775-4102

Authorized Official

Name: CARROLL MARTIN, LCSW
Title: OWNER / CEO
Phone: (540) 406-1717

Specialties & Taxonomy Codes

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

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