Individual
TERESA L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 LAKE HILLS LN, KALISPELL, MT 59901-7427
(406) 253-3565
Mailing address
425 LAKE HILLS LN, KALISPELL, MT 59901-7427
(406) 253-3565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
962
MT
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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