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1720343437
JESSICA LYNN CARROLL
MENASHA, WI
NPI
1720343437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7474)
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
-- JESSICA LYNN CARROLL LCSW
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
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Mailing Address
-- JESSICA LYNN CARROLL LCSW
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-3700
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