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Individual

LUANA CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
68 BISHOP ST, PORTLAND, ME 04103-2681
(207) 423-7622
Mailing address
PO BOX 4, BUXTON, ME 04093-0004
(207) 423-7622

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17742
ME

Other

Enumeration date
05/07/2019
Last updated
12/30/2019
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