Johanna Carroll, LCSW
Social Worker, Clinical in Fresno, CA. Individual provider (NPI-1).
NPI number1013040211
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013040211
- Entity type
- Individual (NPI-1)
- Name
- Ms. Johanna Carroll
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS15472 | CA | Yes |
Practice location
1600 M StFresno, CA 93721-1122
Phone 559-237-4706
Mailing address
7794 N De Wolf AveClovis, CA 93619-9008
Phone 559-323-6947
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All 613 Clinical Social Worker providers in Fresno · All 23,426 providers in Fresno
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