Individual
CRYSTAL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
(815) 432-4537
Mailing address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
(815) 432-4537
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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