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Individual
DANIEL K CARLSON-THOMPSON
Active
Individual
DANIEL K CARLSON-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
306 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000070703
BLUE CROSS/SHIELD OF MONT
MT
01
—
P00692014 C01340
RAILROAD MEDICARE
MT
Enumeration date
02/22/2006
Last updated
06/02/2009
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