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Individual
MRS. LAUREN RENEE CARROLL
Active
Individual
MRS. LAUREN RENEE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014945-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014945-1
SPEECH LANGUAGE PATHOLOGIST
NY
01
—
014945-1
NYS LICENSE
—
Enumeration date
10/17/2008
Last updated
10/08/2019
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