Individual
JUSTINE L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16020 SWINGLEY RIDGE RD, CHESTERFIELD, MO 63017-6030
(636) 939-2550
Mailing address
16020 SWINGLEY RIDGE RD, CHESTERFIELD, MO 63017-6030
(636) 939-2550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019007652
MO
Other
Enumeration date
07/01/2017
Last updated
01/04/2024
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