Individual
MS. ALICE EDA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
15720 WINCHESTER BLVD, STE 3, LOS GATOS, CA 95030
(408) 395-7174
Mailing address
130 TIBURON CT, APTOS, CA 95003
(831) 685-1222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS12910
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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