Individual
MS. JERRI CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3734 ASHLEY OAKS DR, APARTMENT A, LAFAYETTE, IN 47905-6012
(765) 418-8310
Mailing address
3734 ASHLEY OAKS DR, APARTMENT A, LAFAYETTE, IN 47905-6012
(765) 418-8310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005802A
IN
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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