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STEVEN ANTHONY CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
41 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
92 ROGERS AVE APT 2, SOMERVILLE, MA 02144-2232
(201) 956-2653

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320516
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2320516
MA

Other

Enumeration date
12/30/2019
Last updated
12/31/2019
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