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1013040211
JOHANNA CARROLL
FRESNO, CA
NPI
1013040211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15472)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Ms. JOHANNA CARROLL LCSW
1600 M ST
FRESNO, CA 93721-1122
Phone number: 559-237-4706
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Mailing Address
Ms. JOHANNA CARROLL LCSW
7794 N DE WOLF AVE
CLOVIS, CA 93619-9008
Phone number: 559-323-6947
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