Individual
EDWARD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
723 WHEATLAND ST, PHOENIXVILLE, PA 19460-5361
(610) 415-9301
Mailing address
723 WHEATLAND ST, PHOENIXVILLE, PA 19460-5361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132873
PA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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