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Individual
MARY CATHERINE CARROLL
Active
Individual
MARY CATHERINE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDICAL
CA
01
—
7368
MEDICAL
CA
01
—
7667
MEDICAL
CA
01
—
7708
MEDICAL
CA
Enumeration date
12/15/2019
Last updated
02/26/2021
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