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Individual

MARY C CARROLL

Active
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Individual

MARY C CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9524
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108544
UCARE
MN
01
494S0CA
BCBS
MN
01
62-49483
UBH
MN
01
HP19174
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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