Individual
MR. DANIEL R CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV MSW LICSW
Contact information
Practice address
1300 GODWARD ST NE, SUITE 6900, MINNEAPOLIS, MN 55413-3002
(612) 339-3367
(612) 333-9969
Mailing address
1300 GODWARD ST NE, SUITE 6900, MINNEAPOLIS, MN 55413-3002
(612) 339-3367
(612) 333-9969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11391
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259317300
—
MN
01
—
54168
HEALTH PARTNERS
MN
01
—
7G652CA
BLUE CROSS
MN
Enumeration date
01/23/2007
Last updated
07/18/2015
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