Search › Wisconsin › 1041C0700X
Jessica Carroll, LCSW
NPI 1720343437 · on the registry since 2012
Practice
- Address
- 1095 Midway Rd
Menasha, WI 54952 - Phone
- (920) 720-2300
- Fax
- (920) 720-3719
- Organisation at this address
- Thedacare, Incorporated
Thedacare Regional Medical Center - Neenah, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 111
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin