Individual
DEJANE' CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 FRANKLIN TPKE, DANVILLE, VA 24540-1031
(434) 836-8500
Mailing address
246 VICAR PL, DANVILLE, VA 24540-1219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010326
VA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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