Individual
MARISA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(321) 207-0435
Mailing address
7142 FIVE OAKS DR, HARMONY, FL 34773-6060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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