Individual
MR. JOHN LEE CARROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1821 PORTAL ST STE B, BALTIMORE, MD 21224-6541
(410) 633-4236
(410) 633-4316
Mailing address
1821 PORTAL ST STE B, BALTIMORE, MD 21224-6541
(410) 633-4236
(410) 633-4316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11774
MD
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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