Organization
LUANA CARROLL, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA CARROLL LCSW (OWNER/PSYCHOTHERAPIST)
(207) 423-7622
Entity
Organization
Contact information
Practice address
68 BISHOP ST, PORTLAND, ME 04103-2681
(207) 423-7622
Mailing address
PO BOX 4, BUXTON, ME 04093-0004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
12/30/2019
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