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Individual
MS. BRENDA M. CARROLL
Active
Individual
MS. BRENDA M. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC5859
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00204000
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA2422
MD
Other
Enumeration date
10/23/2014
Last updated
03/17/2018
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