Individual
MALARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
211 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 746-0405
(701) 746-5918
Mailing address
211 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 746-0405
(701) 746-5918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
868-4-1-16A
ND
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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