Individual
GINA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 SAINT TAMMANY ST, SUITE D, BATON ROUGE, LA 70806-6064
(225) 929-9738
Mailing address
555 SAINT TAMMANY ST, SUITE D, BATON ROUGE, LA 70806-6064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
02/08/2021
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