Individual
MRS. ADDIE LOIS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 N HILLS BLVD, NORTH LITTLE ROCK, AR 72116-5423
(501) 834-0217
(501) 833-0957
Mailing address
9422 DUKE DR, LITTLE ROCK, AR 72204-4312
(501) 227-7523
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124083118
—
AR
Enumeration date
09/19/2018
Last updated
09/19/2018
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