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Individual

SUSAN CARLSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 582-8440
Mailing address
PO BOX 597, WAUNA, WA 98395-0597
(253) 853-4656

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00117308
WA

Other

Enumeration date
01/18/2008
Last updated
01/18/2008
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