Individual
ALEXANDRA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SLC, UT 84111-1727
(801) 322-4257
Mailing address
6482 S WESTBROOK DR, SALT LAKE CITY, UT 84129-6145
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
8279919-3102
UT
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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