Individual
MS. JENNIFER LEIGH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
41900 FENWICK ST, SUITE #1, LEONARDTOWN, MD 20650-3814
(301) 475-9660
(301) 475-8810
Mailing address
41900 FENWICK ST, SUITE #1, LEONARDTOWN, MD 20650-3814
(301) 475-9660
(301) 475-8810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09180
MD
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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