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1942774054
MICHAEL TIMOTHY CARROLL
FERNDALE, MI
NPI
1942774054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801110612)
Enumeration Date
2019-01-11
Last Update Date
2024-03-20
Business Address
MICHAEL TIMOTHY CARROLL LMSW
1603 E 9 MILE RD
FERNDALE, MI 48220-2065
Phone number: 248-514-4955
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Mailing Address
MICHAEL TIMOTHY CARROLL LMSW
1603 E 9 MILE RD
FERNDALE, MI 48220-2065
Phone number: 248-514-4955
Copy
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