Individual
CORSICA C CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4571 N MARKET ST, SHREVEPORT, LA 71107-2917
(318) 424-8735
(318) 424-8739
Mailing address
4571 N MARKET ST, SHREVEPORT, LA 71107-2917
(318) 424-8735
(318) 424-8739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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