Individual
MRS. LAURA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7700 HUDSON RD STE 600, WOODBURY, MN 55125-1469
(651) 252-6032
Mailing address
7700 HUDSON RD STE 600, WOODBURY, MN 55125-1469
(651) 252-6032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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