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1336903673
KENNETH SHAUN CARROLL
COMMACK, NY
NPI
1336903673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 014227)
Enumeration Date
2024-02-07
Last Update Date
2024-09-11
Business Address
Mr. KENNETH SHAUN CARROLL LMHC
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725-4322
Phone number: 631-533-0315
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Mailing Address
Mr. KENNETH SHAUN CARROLL LMHC
368 VETERANS MEMORIAL HWY STE 3
COMMACK, NY 11725-4322
Phone number: 631-533-0315
Copy
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