Individual
GEORGE LEWIS CARLSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.,LCSW-C
Contact information
Practice address
8850 COLUMBIA 100 PKWY, SUITE 403, COLUMBIA, MD 21045-2374
(410) 730-0552
(410) 715-4720
Mailing address
8850 COLUMBIA 100 PKWY, SUITE 403, COLUMBIA, MD 21045-2374
(410) 730-0552
(410) 715-4720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06899
MD
Other
Enumeration date
10/09/2009
Last updated
09/30/2013
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