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Individual

MRS. IRENE CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
400 E PRATT ST, SUITE 800, BALTIMORE, MD 21202-3116
(410) 919-8618
(443) 773-4937
Mailing address
400 E PRATT ST, SUITE 800, BALTIMORE, MD 21202-3116
(410) 919-8618
(144) 377-3493

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17821
MD

Other

Enumeration date
03/22/2012
Last updated
06/14/2012
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