Timothy Kyle Carroll, SOCIAL WORKER Valid NPI

Individual provider · Clinical Social Worker · Fort Sam Houston, TX

NPI

1629044789

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

32233 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-02-27

Last updated

2021-07-13