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Organization
JOHN-PAUL CARROLL LCSW PLLC
Active
Organization
JOHN-PAUL CARROLL LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL CARROLL LCSW-R (OWNER)
(631) 972-7016
Entity
Organization
Contact information
Practice address
205 SIOUX ST, RONKONKOMA, NY 11779-3529
(631) 972-7016
Mailing address
205 SIOUX ST, RONKONKOMA, NY 11779-3529
(631) 972-7016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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