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1205479789
JERRY MONROE CARROLL
CLEVELAND, OH
NPI
1205479789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-28
Last Update Date
2022-08-10
Business Address
JERRY MONROE CARROLL
1227 ANSEL RD
CLEVELAND, OH 44108-3323
Phone number: 216-421-0662
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Mailing Address
JERRY MONROE CARROLL
1022 EVANGELINE RD
CLEVELAND, OH 44110-3151
Phone number: 216-512-0995
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