Individual
ROBERT CARROLL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED MFT
Contact information
Practice address
2375 SHALLOWFORD RD NE, ATLANTA, GA 30345-1342
(404) 216-3882
Mailing address
2375 SHALLOWFORD RD NE, ATLANTA, GA 30345-1342
(404) 216-3882
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
705
GA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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