Jonathan Lee Carroll
Jonathan Lee Carroll is a Case Manager/Care Coordinator in Wasilla, Alaska. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1363 W Spruce AveWasilla, AK 99654-5327
Phone: (907) 376-2411
Fax: (907) 352-3373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1972126704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 27, 2020 |
| Last updated in NPPES | May 27, 2020 |
| Certification date | May 27, 2020 |
| Mailing address | 580 W Roy Rd Apt 2, Wasilla, AK 99654-3258 |
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