Individual
MRS. SARAH MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
523 RICKSECKER ST, DOVER, OH 44622-9476
(330) 343-3311
Mailing address
523 RICKSECKER ST, DOVER, OH 44622-9476
(330) 343-3311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871606921
NATIONAL PROVIDER IDENTIFIER
—
Enumeration date
03/30/2015
Last updated
03/30/2015
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