Individual
CASEY B CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1045 MAIN ST, DANVILLE, VA 24541-1800
(434) 792-2277
Mailing address
310 TOWNES ST, DANVILLE, VA 24541-2641
(336) 880-3576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009770
VA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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