Individual
CARROLL BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2010 NORTHOVER RD, TOLEDO, OH 43613-2834
(419) 473-8274
Mailing address
6790 STONEGATE DR, TEMPERANCE, MI 48182-2216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13836
OH
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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