Individual
VIVIAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RIDGE RD, NEW MILFORD, CT 06776-3151
(860) 946-0423
Mailing address
9 RIDGE RD, NEW MILFORD, CT 06776-3151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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