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Individual

JILLIAN RENEE CARRICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2412 GREATSTONE POINT, LEXINGTON, KY 40504
(859) 224-4081
Mailing address
2412 GREATSTONE POINT, LEXINGTON, KY 40504

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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