Individual
STEPHANIE A CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4244 28TH AVE S, MINNEAPOLIS, MN 55406-3123
(612) 877-1030
Mailing address
4244 28TH AVE S, MINNEAPOLIS, MN 55406-3123
(612) 877-1030
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1471
MN
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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