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Individual
MRS. MARY KATHERINE CARROLL
Active
Individual
MRS. MARY KATHERINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA3241
FL
235Z00000X
Speech-Language Pathologist
Primary
SA3241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812122200
—
FL
05
—
88255300
—
FL
01
—
SA3241
LISENCE
FL
Enumeration date
03/02/2007
Last updated
02/09/2012
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