Individual
CONSTANCE MARIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23148
NY
104100000X
Social Worker
Primary
100966-1
NY
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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