Individual
KINDRA ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1175 E MAIN ST, MEDFORD, OR 97504-7499
(541) 324-7645
Mailing address
100 N PACIFIC HWY APT 10, TALENT, OR 97540-9501
(541) 517-0257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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