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Amber Dawn Carlson, LICSW

Counselor in Shelton, WA. Individual provider (NPI-1).

NPI number1871967331
StatusActive
Last updated in NPPESSep 9, 2016

Details

NPI
1871967331
Entity type
Individual (NPI-1)
Name
Mrs. Amber Dawn Carlson
Credential
LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 20, 2015
Last updated
Sep 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorLW60294111WAYes

Practice location

939 Mountain View Dr
Shelton, WA 98584-4410

Phone 360-432-7782

Mailing address

939 Mountain View Dr
Shelton, WA 98584-4410

Phone 360-432-7782

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