Individual
MRS. CARRIE MICHELLE GARRIGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
88758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88758
CAIFORNIA LICENSE
CA
Enumeration date
03/02/2016
Last updated
05/20/2019
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