Individual
ALICIA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11037 WARNER AVE, #339, FOUNTAIN VALLEY, CA 92708-4007
(503) 298-5359
(949) 253-4627
Mailing address
11037 WARNER AVE, #339, FOUNTAIN VALLEY, CA 92708-4007
(503) 298-5359
(949) 253-4627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE9034
CA
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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