Individual
CHARLENE KELLY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
44 WASHINGTON ST, SUITE 102A, BROOKLINE, MA 02445-7130
(617) 731-9988
Mailing address
21 JACQUELINE LN, PLYMOUTH, MA 02360-4665
(508) 415-3096
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1008
MA
Other
Enumeration date
12/16/2010
Last updated
04/17/2014
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