Individual
AMANDA KATHRYN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(508) 439-3860
Mailing address
32 LIBERTY DR, SOUTHBOROUGH, MA 01772-4007
(508) 439-3860
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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