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Individual

DANIELLE ALYSSA CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
15198 IRISH AVE N, HUGO, MN 55038-9444
(612) 743-8091
Mailing address
15198 IRISH AVE N, HUGO, MN 55038-9444
(612) 743-8091

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3054
MN

Other

Enumeration date
12/22/2010
Last updated
09/06/2024
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