Individual
KAYLA R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
323 E 2ND ST, MARION, IN 46952-3871
(765) 573-5567
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010612A
IN
104100000X
Social Worker
99107912A
IN
Other
Enumeration date
09/03/2021
Last updated
12/20/2022
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