Individual
MARY KAY CARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5821 MICHAEL CT, SAINT CLOUD, MN 56303-0926
(320) 252-5653
Mailing address
5821 MICHAEL CT, SAINT CLOUD, MN 56303-0926
(320) 252-5653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT 512
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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