Carlson, Stacy Mae
Carlson, Stacy Mae is an individual health care provider with primary practice located at 120 Labree Ave S , Thief River Falls MN 56701-2819. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Carlson, Stacy Mae can be contacted via phone (218) 683-4318.Contact Information
Primary practice address
120 Labree Ave S
Thief River Falls MN 56701-2819
Phone: (218) 683-4318
Fax: (218) 683-4515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304338 | Minnesota |
Profile Details
| NPI number | 1417446824 |
|---|---|
| LBN Legal business name | Carlson, Stacy Mae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2018 |
| Last updated | May 2nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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