Michael David Carlson, MSW, LICSW

NPI #1366110199 in Mahtomedi, Minnesota

Provider Information

NPI Number
1366110199
Entity Type
Individual
Name
Michael David Carlson, MSW, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LICSW
Enumeration Date
Sep 6, 2021
Last Updated
Sep 6, 2021

Practice Location

Address
410 HALLAM AVE S
ZIP Code
55115-2217
Phone
(651) 324-2481

Specialties & Taxonomy Codes

Specialty
Social Worker - SchoolSchool
Social Worker - ClinicalClinical

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