Individual
KATRINA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
411 W 5TH AVE, TRUTH OR CONSEQUENCES, NM 87901-2204
(575) 740-7645
Mailing address
411 W 5TH AVE, TRUTH OR CONSEQUENCES, NM 87901-2204
(575) 740-7645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0303
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/26/2022
Last updated
06/20/2024
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