Individual
IRENA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2440 M ST NW STE 429, WASHINGTON, DC 20037-1450
(202) 747-4768
Mailing address
2440 M ST NW STE 429, WASHINGTON, DC 20037-1450
(202) 462-3658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200001484
DC
Other
Enumeration date
11/30/2021
Last updated
11/15/2023
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