Individual
ELIZABETH AUGUSTA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 FAIRVIEW DR, HARTFORD, WI 53027-2314
(262) 707-9131
Mailing address
604 FAIRVIEW DR, HARTFORD, WI 53027-2314
(262) 707-9131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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