Individual
DAWN MARIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 COTTAGE LN, SPRINGFIELD, WV 26763-4510
(304) 839-8186
Mailing address
14 COTTAGE LN, SPRINGFIELD, WV 26763-4510
(304) 839-8186
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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