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Organization
CARRIE POULSON EXPRESSIVE ART THERAPIES
Active
Organization
CARRIE POULSON EXPRESSIVE ART THERAPIES
Active
Other names
Carrie Poulson Expressive Art Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE L POULSON LCSW (OWNER)
(858) 216-5633
Entity
Organization
Contact information
Practice address
9740 NUTBY DRIVE, ESCONDIDO, CA 92026
(858) 216-5633
Mailing address
403 N ESCONDIDO BLVD UNIT 1225, ESCONDIDO, CA 92033-7050
(858) 216-5633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99742
LCSW
CA
Enumeration date
12/08/2022
Last updated
12/08/2022
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