Individual
KATHLEEN M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
500 VICTORY RD, STEP ONE EARLY INTERVENTION, QUINCY, MA 02171-3139
(617) 774-1049
Mailing address
500 VICTORY RD, STEP ONE EARLY INTERVENTION, QUINCY, MA 02171-3139
(617) 774-1049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6627
MA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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