Individual
KAITLIN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 385, OMAHA, NE 68105-2943
(402) 553-3000
Mailing address
20519 CARDINAL LN, COUNCIL BLUFFS, IA 51503-5637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11621
NE
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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