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Individual
STEVEN ANTHONY CARROLL
Active
Individual
STEVEN ANTHONY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320516
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2320516
MA
Other
Enumeration date
12/30/2019
Last updated
12/31/2019
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