Individual
KATHRYN ANNE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 7TH AVE S, ESCANABA, MI 49829-1176
(906) 233-1393
Mailing address
6618 LAURA M.25 ST, ESCANABA, MI 49829-9434
(906) 241-0148
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852094220
MI
Other
Enumeration date
12/11/2024
Last updated
12/13/2024
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