Individual
ALEXANDER ISAAC CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
(804) 365-4244
(804) 365-4252
Mailing address
1410 FLOYD AVE, RICHMOND, VA 23220-4618
(703) 973-2729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011553
VA
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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