Individual
JOHN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
143 HIGH ST, BELFAST, ME 04915-6548
(207) 338-0502
Mailing address
PO BOX 715, BELFAST, ME 04915-0715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#LC4736
ME
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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