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Individual
ANGELA Y CARROLL
Active
Individual
ANGELA Y CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
5560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
06/28/2010
Last updated
06/14/2016
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