Individual
LYNN RENEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1811 WEIR DR, SUITE 270, WOODBURY, MN 55125-2272
(651) 714-9646
(651) 714-9647
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 714-9646
(651) 714-9647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21662
MN
Other
Enumeration date
07/08/2016
Last updated
08/29/2017
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