CLEO CARROLL

BATON ROUGE, LA
NPI1134586753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2016-01-27
Last Update Date2019-05-14
Business Address
MR. CLEO CARROLL
2965 ELGIN ST
BATON ROUGE, LA 70805-7310
Phone number: 225-270-8828
Mailing Address
MR. CLEO CARROLL
2965 ELGIN ST
BATON ROUGE, LA 70805-7310
Phone number: 225-270-8828