Individual
STEPHANIE B CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 KENNEDY ST NW, WASHINGTON, DC 20011-2913
(202) 722-1725
Mailing address
821 KENNEDY ST NW, WASHINGTON, DC 20011-2913
(202) 722-1725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302441
DC
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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