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Individual
JENNIFER CARROLL
Active
Individual
JENNIFER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061201
—
TX
01
—
8T2224
BCBS
TX
Enumeration date
12/18/2006
Last updated
05/18/2010
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