Individual
MRS. TRISTY LYNN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
102 2ND AVE SW STE 215A, JAMESTOWN, ND 58401-4104
(701) 320-6488
(701) 252-6074
Mailing address
PO BOX 532, JAMESTOWN, ND 58402-0532
(701) 252-6066
(701) 252-6074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
683
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460115
—
ND
Enumeration date
09/03/2006
Last updated
06/24/2021
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