Individual
GEORGE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9988 W MISSION RD, ARIZONA CITY, AZ 85223
(520) 466-6642
Mailing address
PO BOX 579, ARIZONA CITY, AZ 85223-0579
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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