Individual
CHERYL ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 703-2260
Mailing address
307 AMHERST ST # 12, NASHUA, NH 03063-1747
(603) 913-4289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
220299
MA
1041C0700X
Clinical Social Worker
Primary
2050
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NH
Enumeration date
08/27/2014
Last updated
08/26/2021
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