Individual
PETER CHARLES CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SWLC
Contact information
Practice address
431 1ST AVE W, KALISPELL, MT 59901-4959
(406) 471-4954
Mailing address
2933 RUFENACH LN, KALISPELL, MT 59901-6776
(406) 471-4954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-59064
MT
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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