Individual
CASSIE MCLAUGHLIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3800 I-55 N FRONTAGE RD STE 102, JACKSON, MS 39212
(601) 200-6872
Mailing address
1742 SHEFFIELD DR, JACKSON, MS 39211-5741
(601) 927-0355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
812680
MS
Other
Enumeration date
10/28/2024
Last updated
01/13/2025
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