Individual
MARILYN KAY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 1ST ST SW, MINOT, ND 58701-3851
(701) 852-3328
Mailing address
20 1ST ST SW, MINOT, ND 58701-3851
(701) 852-3328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1012
ND
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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