Individual
ROSE MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1545 W NORTHERN AVE, PHOENIX, AZ 85021-5453
(602) 331-8200
(602) 331-0755
Mailing address
1545 W NORTHERN AVE, PHOENIX, AZ 85021-5453
(602) 331-8200
(602) 331-0755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
854
AZ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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