Organization
CYNTHIA LEIGH CARLSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LEIGH CARLSON MSW (CLINICAL SOCIAL WORKER)
(414) 963-9187
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE STE 704, SHOREWOOD, WI 53211-2265
(414) 963-9187
Mailing address
3970 N OAKLAND AVE STE 704, SHOREWOOD, WI 53211-2265
(414) 963-9187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2706
WI
Other
Enumeration date
05/28/2011
Last updated
09/12/2011
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