Individual
MS. CAROL A. JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
56218 PARKWAY AVE, SUITE B, ELKHART, IN 46516-9326
(574) 293-0005
(574) 293-0019
Mailing address
56218 PARKWAY AVE, SUITE B, ELKHART, IN 46516-9326
(574) 293-0005
(574) 293-0019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200927670A
—
IN
Enumeration date
03/07/2007
Last updated
10/03/2013
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