Individual
MISS JUDITH LYNN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 939-3888
(208) 939-5599
Mailing address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 939-3888
(208) 939-5599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33648
ID
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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