TASIA CARROLL

FAYETTEVILLE, GA
NPI1942682976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP005699)
Enumeration Date2015-06-26
Last Update Date2015-06-26
Business Address
-- TASIA CARROLL
115 MOUNTAIN LAUREL WAY
FAYETTEVILLE, GA 30215-7743
Phone number: 770-856-9403
Mailing Address
-- TASIA CARROLL
PO BOX 143762
FAYETTEVILLE, GA 30214-6537
Phone number: 770-856-9403
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