Organization
MARY L CARROLL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CARROLL LCPC (PSYCHOTHERAPIST)
(301) 356-4914
Entity
Organization
Contact information
Practice address
14201 LAUREL PARK DR, SUITE 226, LAUREL, MD 20707-5203
(301) 356-4914
(240) 554-2381
Mailing address
14201 LAUREL PARK DRIVE, SUITE 226, LAUREL, MD 20707
(301) 356-4914
(240) 554-2381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4022
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334425800
—
MD
Enumeration date
04/03/2013
Last updated
04/03/2013
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