| Michele M Carroll L.c.s.w | |
|
1100 Beech St Ste 5 Normal IL 61761-1493 | |
| (309) 306-2775 | |
| Not Available |
| Full Name | Michele M Carroll L.c.s.w |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1100 Beech St Ste 5, Normal, Illinois |
| Authorized Official Name and Position | Michele Carroll (OWNER) |
| Authorized Official Contact | 3092875381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele M Carroll L.c.s.w 1100 Beech St Ste 5 Normal IL 61761-1493 Ph: (309) 306-2775 | Michele M Carroll L.c.s.w 1100 Beech St Ste 5 Normal IL 61761-1493 Ph: (309) 306-2775 |
| NPI Number | 1326803867 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326803867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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