TIMOTHY MARTIN CARROLL

SATELLITE BEACH, FL
NPI1285965616
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  1205A)
Enumeration Date2010-01-25
Last Update Date2010-01-25
Business Address
Mr. TIMOTHY MARTIN CARROLL CAS
1127 S PATRICK DR SUITE 24
SATELLITE BEACH, FL 32937-3939
Phone number: 321-773-1111
Mailing Address
Mr. TIMOTHY MARTIN CARROLL CAS
1127 S PATRICK DR SUITE 24
SATELLITE BEACH, FL 32937-3939
Phone number: 321-773-1111
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