Individual
MRS. AMBER DAWN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
939 MOUNTAIN VIEW DR, SHELTON, WA 98584-4410
(360) 432-7782
Mailing address
939 MOUNTAIN VIEW DR, SHELTON, WA 98584-4410
(360) 432-7782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LW60294111
WA
Other
Enumeration date
11/20/2015
Last updated
09/09/2016
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