Individual
KATHERINE MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 251-5130
(651) 251-5111
Mailing address
2471 15TH AVE E, NORTH ST PAUL, MN 55109-2325
(651) 303-8133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17532
MN
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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