Jeremy R Carroll, L.AC., MAOM

NPI #1710547096 in Middlefield, Connecticut

Provider Information

NPI Number: 1710547096
Entity Type: Individual
Name: Jeremy R Carroll, L.AC., MAOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC., MAOM
Enumeration Date: Jun 18, 2019
Last Updated: Jun 18, 2019

Practice Location

Address: 474 MAIN STREET
City: Middlefield
State: Connecticut
ZIP Code: 06455
Phone: (860) 704-9091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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