Individual
CHARLES FRANCIS CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17 ALVIN RD, PLYMOUTH, MA 02360-3920
(978) 621-6926
Mailing address
17 ALVIN RD, PLYMOUTH, MA 02360-3920
(978) 621-6926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3060
MA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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