Individual
MRS. MARILYN A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
25102 JEFFERSON AVE, SUITE D, MURRIETA, CA 92562-1707
(951) 461-1190
Mailing address
25102 JEFFERSON AVE, SUITE D, MURRIETA, CA 92562-1707
(951) 461-1190
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
446
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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