Individual
ALEXIS LYNN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 PARK AVE, BRIDGEPORT, CT 06604-4634
(203) 275-0700
Mailing address
1565 BYAM RD, CHESHIRE, CT 06410-1004
(203) 592-9826
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6017
CT
1041C0700X
Clinical Social Worker
Primary
13681
CT
Other
Enumeration date
10/04/2021
Last updated
06/07/2025
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