Individual
MRS. JACQUELINE DENISE HOWELL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
4621 LONGBRIDGE LANE, LEXINGTON, KY 40515-6135
(859) 272-7472
Mailing address
4621 LONGBRIDGE LANE, LEXINGTON, KY 40515-6135
(859) 272-7472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0518
KY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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