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1205049145
ROGER DEAN CARLSON
BRYAN, OH
NPI
1205049145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH E-0001208)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- ROGER DEAN CARLSON M.A., L.P.C.C.
424 S PORTLAND ST
BRYAN, OH 43506-2084
Phone number: 419-636-1513
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Mailing Address
-- ROGER DEAN CARLSON M.A., L.P.C.C.
424 S PORTLAND ST
BRYAN, OH 43506-2084
Phone number: 419-636-1513
Copy
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