Individual
MRS. SANDRA ELIZABETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
330 WALKER AVE, WAHIAWA, HI 96786-1821
(808) 622-6329
Mailing address
95-1071 KUALAPA ST, MILILANI, HI 96789-4272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP248
HI
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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