Individual
CYNTHIA ANN ROLLO-CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW,LADC
Contact information
Practice address
310 RAILROAD AVE, WALKER, MN 56484
(218) 675-9170
Mailing address
7561 FRONT ST NW, WALKER, MN 56484-2003
(808) 345-3205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301020
MN
1041C0700X
Clinical Social Worker
Primary
11704
MN
1041C0700X
Clinical Social Worker
LCSW-3911
HI
Other
Enumeration date
05/07/2021
Last updated
01/16/2025
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