Individual
CONNIE L. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
7600 WAYZATA BLVD, SUITE 5B, GOLDEN VALLEY, MN 55426-1645
(612) 810-8146
Mailing address
7600 WAYZATA BOULEVARD, SUITE 5B, GOLDEN VALLEY, MN 55426
(612) 810-8146
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1834
MN
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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