Organization
CAROL VAN DOORN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL VAN DOORN LCSW-C (OWNER/THERAPIST)
(301) 351-7421
Entity
Organization
Contact information
Practice address
209 CENTER ST, FREDERICK, MD 21701-6309
(301) 351-7421
Mailing address
1743 CASTLE ROCK RD, FREDERICK, MD 21701-9386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15354
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064812400
—
MD
Enumeration date
07/17/2013
Last updated
01/29/2015
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