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Individual

DR. MAUREEN EILEEN CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
15206 PARRISH, CEDAR LAKE, IN 46303-0536
(219) 696-4772
(219) 696-4772
Mailing address
PO BOX 536, CEDAR LAKE, IN 46303
(219) 696-4772
(219) 696-4772

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000629A
IN

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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