Angela Marie Carlson, LICSW

NPI #1134574726 in Crookston, Minnesota

Provider Information

NPI Number: 1134574726
Entity Type: Individual
Name: Angela Marie Carlson, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 603 BRUCE ST
City: Crookston
State: Minnesota
ZIP Code: 56716-2914
Phone: (218) 281-3940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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