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1538714183
CARROLL MARTIN
LEESBURG, VA
NPI
1538714183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009426)
Enumeration Date
2019-08-09
Last Update Date
2021-12-29
Business Address
CARROLL MARTIN LCSW
203 LOUDOUN ST SW STE E
LEESBURG, VA 20175-2712
Phone number: 540-222-4537
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Mailing Address
CARROLL MARTIN LCSW
41631 OLIVINE PL
ALDIE, VA 20105-5682
Phone number:
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