Individual
JADE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1774 TEXAS ST, NATCHITOCHES, LA 71457-3429
(318) 235-4401
Mailing address
1522 BARCLAY DR, NATCHITOCHES, LA 71457-4904
(318) 235-4401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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