Individual
SHANNON MIKEAL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6500 GREENVILLE AVE STE 430, DALLAS, TX 75206-1004
(682) 999-0997
Mailing address
6500 GREENVILLE AVE STE 430, DALLAS, TX 75206-1004
(682) 999-0997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
85364
CA
Other
Enumeration date
09/07/2018
Last updated
07/01/2026
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