Individual
DERRICK CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 W SAHARA AVE STE B22, LAS VEGAS, NV 89102-6002
(702) 489-2889
(702) 489-8264
Mailing address
3150 W SAHARA AVE STE B22, LAS VEGAS, NV 89102-6002
(702) 489-2889
(702) 489-8264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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