Individual
JERRETT LEE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APS.004717
Contact information
Practice address
658 WALNUT ST SUIT 3, EAST LIVERPOOL, OH 43920
(330) 932-0157
Mailing address
1749 IDAHO AVE, EAST LIVERPOOL, OH 43920
(330) 368-8112
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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