Individual
CHARITY JO CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3383 MIDDLE GRAVE CREEK RD, MOUNDSVILLE, WV 26041-3367
(304) 559-6045
(304) 845-9977
Mailing address
3383 MIDDLE GRAVE CREEK RD, MOUNDSVILLE, WV 26041-3367
(304) 559-6045
(304) 845-9977
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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