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Individual
LORI D CARROLL
Active
Individual
LORI D CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 10115
FL
Other
Enumeration date
10/10/2011
Last updated
06/17/2012
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