Individual
KIMBERLY ANN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
303 JEFFERSON ST, MADISON, IN 47250-3408
(812) 801-5899
Mailing address
303 JEFFERSON ST, MADISON, IN 47250-3408
(812) 801-5899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006329A
IN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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