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1194010702
BRIAN JON CARLSON
APPLE VALLEY, CA
NPI
1194010702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 79097)
Enumeration Date
2011-06-10
Last Update Date
2022-04-25
Business Address
Mr. BRIAN JON CARLSON LMFT
20258 US HIGHWAY 18 STE 430-539
APPLE VALLEY, CA 92307-6197
Phone number: 760-946-9300
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Mailing Address
Mr. BRIAN JON CARLSON LMFT
20258 US HIGHWAY 18 STE 430-539
APPLE VALLEY, CA 92307-6197
Phone number: 760-946-9300
Copy
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