CLARK CARROLL

JANESVILLE, WI
NPI1962773648
Other NameCLARK T. CARROLL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  7914)
Enumeration Date2012-01-26
Last Update Date2021-03-01
Business Address
CLARK CARROLL APNP
1820 CENTER AVE STE 170
JANESVILLE, WI 53546-2878
Phone number: 608-755-1475
Mailing Address
CLARK CARROLL APNP
203 W SUNNY LN
JANESVILLE, WI 53546-9091
Phone number: 608-755-1475
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