Tracy Jean Carroll

NPI 1093909467 - Counselor - 101YM0800X

NPI Details
NPI 1093909467
Gender Female
Enumeration Date 08/29/2007
Last Updated 08/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1722 S LEWIS RD
CAMARILLO CA, 93012-8520, US
Phone (805) 445-7858
Fax
Business Location
1722 S LEWIS RD
CAMARILLO CA, 93012-8520, US
Phone (805) 445-7858
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mrs. Tracy Jean Carroll NPI is 1093909467, taxonomy code is 101YM0800X Tracy Jean Carroll physically located at 1722 S Lewis Rd, Camarillo CA, 93012-8520. NPI Number Tracy Jean Carroll has the Individual type.

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1093909467 NPI number is provided on an as is basis without warranty of any kind. 1093909467 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Jean Carroll are for informational purposes only.