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Individual
CARL DAHLSTROM
Active
Individual
CARL DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
CICA01710819
CA
Other
Enumeration date
01/23/2017
Last updated
11/27/2024
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