Individual
MADELINE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 284-2870
Mailing address
1851 MELROSE AVE, MINNEAPOLIS, MN 55426-1847
(701) 361-6497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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