Individual
NICHOLAS CARL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 N COMMERCIAL ST, NEENAH, WI 54956-2678
(920) 729-2777
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
07/21/2022
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