Individual
MR. DANIEL R CARLSON
Active
Individual
MR. DANIEL R CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV MSW LICSW
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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