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Individual
MRS. TRISTY LYNN CARROLL
Active
Individual
MRS. TRISTY LYNN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
683
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460115
—
ND
Enumeration date
09/03/2006
Last updated
06/24/2021
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