Marissa Carlson, LCSW

NPI #1124631171 in Saint Maries, Idaho

Provider Information

NPI Number: 1124631171
Entity Type: Individual
Name: Marissa Carlson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Aug 28, 2020
Last Updated: Oct 30, 2024

Practice Location

Address: 201 N 8TH ST STE 4
City: Saint Maries
State: Idaho
ZIP Code: 83861-1869
Phone: (208) 597-7639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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