Individual
SHELLEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1666 HILLVIEW DR, ELIZABETHTON, TN 37643-4116
(423) 480-4672
(855) 232-8604
Mailing address
1641 HIGHWAY 19E BYP, ELIZABETHTON, TN 37643-4646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5583
TN
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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