Individual
MRS. MARLI JEAN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
100 MALTON ST, NEGAUNEE, MI 49866-2001
(906) 485-2118
Mailing address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 485-2118
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
MI
133V00000X
Registered Dietitian
Primary
818424
MI
Other
Enumeration date
12/14/2006
Last updated
03/19/2008
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