Individual
CAETLYN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 E EVERGREEN ST, WEST GROVE, PA 19390-1027
(610) 234-2913
Mailing address
327 WOODCREST RD, WEST GROVE, PA 19390-9193
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
FT-0000043
DE
106H00000X
Marriage & Family Therapist
Primary
MF000988
PA
Other
Enumeration date
12/14/2017
Last updated
06/04/2020
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