Individual
CINDER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3125 POPLARWOOD CT, THE ASPEN BLDG, STE 100, RALEIGH, NC 27604-1084
(800) 632-6074
Mailing address
PO BOX 10414, LARGO, FL 33773-0414
(800) 632-6074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003977
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003254
—
NC
01
—
P00305405
RR MEDICARE W PARADIGM
NC
Enumeration date
01/16/2007
Last updated
07/09/2007
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