Individual
MRS. ANNIE LARAE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-2000
Mailing address
57950 LEAVEWORTH ST, MCCONNELL AFB, KS 67221-3900
(316) 759-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06501
KS
1041C0700X
Clinical Social Worker
5968-S
NV
1041C0700X
Clinical Social Worker
Primary
7357-C
NV
Other
Enumeration date
12/03/2010
Last updated
11/19/2025
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