Individual
MARJORIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6795 SCOTTS STORE RD, GREENWOOD, DE 19950-4622
(302) 841-5031
Mailing address
6795 SCOTTS STORE RD, GREENWOOD, DE 19950-4622
(302) 841-5031
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250568416
—
DE
Enumeration date
11/19/2020
Last updated
11/19/2020
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