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1033648159
PATRICK M CARLSON
OSHKOSH, WI
NPI
1033648159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
PATRICK M CARLSON SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
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Mailing Address
PATRICK M CARLSON SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number:
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