Kelly Carroll
Kelly Carroll is a Social Worker in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
605 Seabright CirCosta Mesa, CA 92627-4907
Phone: (520) 465-9717
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1891572384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 9, 2023 |
| Mailing address | 605 Seabright Cir, Costa Mesa, CA 92627-4907 |
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