Individual
JAMES DONALD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 34TH ST S STE C, FARGO, ND 58103-2215
(701) 239-7279
(701) 356-2058
Mailing address
461 34TH ST S STE C, FARGO, ND 58103-2215
(701) 239-7279
(701) 356-2058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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