Individual
MRS. CECELIA LEWIS CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2504 MADISON AVE, BALTIMORE, MD 21217-4040
(410) 728-0163
(410) 728-0163
Mailing address
2504 MADISON AVE, BALTIMORE, MD 21217-4040
(410) 728-0163
(410) 728-0163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04073
MD
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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