Brianna Jane Carlson, MSW, LICSW
Social Worker, Clinical in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1417649229
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1417649229
- Entity type
- Individual (NPI-1)
- Name
- Brianna Jane Carlson
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2023
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
9400 Zane Ave NBrooklyn Park, MN 55443-1814
Phone 763-762-6829
Mailing address
9400 Zane Ave NBrooklyn Park, MN 55443-1814
Phone 763-762-6829
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