Individual
MRS. JENNIFER MICHELLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 663-2199
Mailing address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 663-2199
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/27/2012
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