Individual
DR. JILL YVONNE CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
659A MAIN ST, LAUREL, MD 20707-4067
(443) 621-3554
Mailing address
659A MAIN ST, LAUREL, MD 20707-4067
(443) 621-3554
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0052673
MD
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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