Individual
MRS. CAROLYNE LARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, M.ED
Contact information
Practice address
480 SEAWELL ROSSER RD, OLIVIA, NC 28368
(000) 000-0000
Mailing address
PO BOX 434, OLIVIA, NC 28368-0434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27035
NC
106E00000X
Assistant Behavior Analyst
8238
CA
Other
Enumeration date
08/21/2016
Last updated
03/12/2021
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