Individual
BIANCA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10480 NEBRASKA ST, FRANKFORT, IL 60423-2235
(815) 469-3366
Mailing address
10480 NEBRASKA ST, FRANKFORT, IL 60423-2235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014834
IL
Other
Enumeration date
09/28/2020
Last updated
08/16/2024
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