Individual
ALEXANDER DALE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
4027 COUNTY ROAD 25, ST LOUIS PARK, MN 55416
(612) 925-6033
(612) 925-8496
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23922
MN
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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