Individual
JESSICA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4240 HUNT RD, BLUE ASH, OH 45242-6612
(513) 891-0650
(513) 891-2838
Mailing address
4240 HUNT RD, BLUE ASH, OH 45242-6612
(513) 891-0650
(513) 891-2838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1101149
OH
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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