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Duane M Carlson, LADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Stillwater, MN

NPI
1114204724
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
303030 (MN)
Sex
Male
Sole proprietor
No
Enumerated
2011-11-10
Last updated
2011-11-10
Practice location
375 Orleans St E
Stillwater, MN 55082-5830
(651) 777-5222

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