Individual
SUZANNE ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4152 30TH AVE S STE 102, FARGO, ND 58104-8403
(218) 443-2837
Mailing address
4152 30TH AVE S STE 102, FARGO, ND 58104-8403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L68
ND
Other
Enumeration date
01/28/2019
Last updated
01/04/2021
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