Individual
SARA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(763) 236-7337
Mailing address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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