Kelli Lynne Carroll, QMHS

NPI #1063061281 in Canton, Ohio

Provider Information

NPI Number: 1063061281
Entity Type: Individual
Name: Kelli Lynne Carroll, QMHS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: QMHS
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 601 CLEVELAND AVE NW
City: Canton
State: Ohio
ZIP Code: 44702-1836
Phone: (330) 455-0374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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