Individual
PAMELA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 DEGRANDPRE WAY, SUITE 200, PLATTSBURGH, NY 12901-6451
(518) 561-6361
Mailing address
71 BRUNELL RD, ALTONA, NY 12910-2402
(518) 204-4112
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/21/2015
Last updated
03/21/2015
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