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Jennifer C Carroll, LICSW

Counselor, Mental Health in Mansfield, MA. Individual provider (NPI-1).

NPI number1144404286
StatusActive
Last updated in NPPESDec 26, 2007

Details

NPI
1144404286
Entity type
Individual (NPI-1)
Name
Ms. Jennifer C Carroll
Credential
LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 26, 2007
Last updated
Dec 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health1024944MAYes

Practice location

129 North Main St
Mansfield, MA 02048

Phone 508-261-2888

Mailing address

129 North Main St
Mansfield, MA 02048

Phone 508-261-2888

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