Individual
MS. STEPHANIE ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 709-0038
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 709-0038
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-72672
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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