Individual
AMANDA RUTH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17191
AZ
1041C0700X
Clinical Social Worker
Primary
149027756
IL
Other
Enumeration date
10/22/2020
Last updated
10/01/2024
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