Individual
RENEE E CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LPC
Contact information
Practice address
RR 1 BOX 41, 521 2ND ST, GREEN ISLE, MN 55338-9706
(507) 326-5115
Mailing address
RR 1 BOX 41, 521 2ND ST, GREEN ISLE, MN 55338-9706
(507) 326-5115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC # 419
MN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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