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Mark Christopher Carroll, LMSW, APSW

Social Worker in Lexington, SC. Individual provider (NPI-1).

NPI number1700568763
StatusActive
Last updated in NPPESAug 1, 2023

Details

NPI
1700568763
Entity type
Individual (NPI-1)
Name
Mark Christopher Carroll
Credential
LMSW, APSW
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2023
Certification date
Aug 1, 2023
Last updated
Aug 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker16258SCYes
104100000X Social Worker132632WI

Practice location

231 Longmont Dr
Lexington, SC 29072-8361

Phone 262-374-0843

Mailing address

231 Longmont Dr
Lexington, SC 29072-8361

Phone 262-374-0843

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