Individual
MS. ANDREA MICHELLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
6223 N CANTON CENTER RD, SUITE 210, CANTON, MI 48187-2696
(734) 737-1200
(734) 737-1205
Mailing address
2005 AUDUBON DR, ANN ARBOR, MI 48103-6183
(734) 665-8074
(734) 665-8079
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801084228
MI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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