Individual
PATRICIA MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 W WASHINGTON AVE, JACKSON, MI 49203-1236
(517) 205-4001
(517) 787-1286
Mailing address
2424 W WASHINGTON AVE, JACKSON, MI 49203-1236
(517) 205-4001
(517) 787-1286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009331
MI
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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