Individual
AMY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
36 BRANDON RD, MILTON, MA 02186-1616
(617) 272-0626
Mailing address
36 BRANDON RD, MILTON, MA 02186-1616
(617) 272-0626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114500
MA
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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