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1114204724
DUANE M CARLSON
STILLWATER, MN
NPI
1114204724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303030)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- DUANE M CARLSON LADC
375 ORLEANS ST E
STILLWATER, MN 55082-5830
Phone number: 651-777-5222
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Mailing Address
-- DUANE M CARLSON LADC
7066 STILLWATER BLVD N
OAKDALE, MN 55128-3937
Phone number: 651-777-5222
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