Individual
MRS. CAROLYN J FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
371 S 900 W, TIPTON, IN 46072-8795
(765) 860-4096
Mailing address
371 S 900 W, TIPTON, IN 46072-8795
(765) 860-4096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01066339
IN
235Z00000X
Speech-Language Pathologist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CFRIE008
—
IN
Enumeration date
11/21/2022
Last updated
11/21/2022
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