Individual
AUTUMN J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
(509) 662-3182
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
(509) 662-3182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60258142
WA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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