Individual
TONYA JOY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 FLORIDA AVE, BANGOR, ME 04401-3005
(207) 299-1414
(207) 947-6278
Mailing address
348 PARKWAY S, BREWER, ME 04412-1720
(207) 951-0634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC18841
ME
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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