Individual
SUSAN LESLIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
550 POPE AVE, ATTN CREDENTIALS, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Mailing address
550 POPE AVE, ATTN CREDENTIALS, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085685
MI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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