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1447561618
JACQUELINE CARROLL
PORT JEFFERSON STATION, NY
NPI
1447561618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069692)
Enumeration Date
2010-06-23
Last Update Date
2010-06-23
Business Address
Mrs. JACQUELINE CARROLL L.C.S.W.-R
31 BEACH AVE
PORT JEFFERSON STATION, NY 11776-2121
Phone number: 631-793-2972
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Mailing Address
Mrs. JACQUELINE CARROLL L.C.S.W.-R
31 BEACH AVE
PORT JEFFERSON STATION, NY 11776-2121
Phone number: 631-793-2972
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