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1962565697
MARY THEODORA CARROLL
SARASOTA, FL
NPI
1962565697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH0002776)
Enumeration Date
2006-12-17
Last Update Date
2007-07-08
Business Address
Dr. MARY THEODORA CARROLL PhD
405 JULIA PL SARASOTA
SARASOTA, FL 34236-6915
Phone number: 941-412-3947
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Mailing Address
Dr. MARY THEODORA CARROLL PhD
173 VENICE PALMS BLVD
VENICE, FL 34292-2447
Phone number: 941-412-3947
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