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Individual

DR. LAURI WRENN CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LCP

Contact information

Practice address
887B RIO EAST CT, CHARLOTTESVILLE, VA 22901-8004
(434) 220-4686
Mailing address
151 BLUE MOUNTAIN LN, SCOTTSVILLE, VA 24590-4408
(434) 466-3679

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004485
VA

Other

Enumeration date
10/12/2011
Last updated
10/12/2011
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