Individual
BONNIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 PINE AVE, NIAGARA FALLS, NY 14301-2402
(716) 505-1060
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
102699
NY
Other
Enumeration date
10/02/2020
Last updated
04/13/2026
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