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Individual

CARROLL STEWART CANIPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW-C

Contact information

Practice address
8258 VETERANS HWY, STE 13, MILLERSVILLE, MD 21108-1564
(410) 480-2010
Mailing address
3355 SAINT JOHNS LN, SUITE F, ELLICOTT CITY, MD 21042-2605
(410) 480-2010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06898
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
QT-52
MD BLUE CROSS&BLUE SHIELD
MD
Enumeration date
05/31/2007
Last updated
03/17/2018
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