Individual
MARK CHRISTOPHER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, APSW
Contact information
Practice address
231 LONGMONT DR, LEXINGTON, SC 29072-8361
(262) 374-0843
Mailing address
231 LONGMONT DR, LEXINGTON, SC 29072-8361
(262) 374-0843
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132632
WI
104100000X
Social Worker
Primary
16258
SC
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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