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1205866472
KENNETH M CARLSON
GRAND FORKS, ND
NPI
1205866472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ND 80)
Enumeration Date
2006-07-04
Last Update Date
2007-07-09
Business Address
Dr. KENNETH M CARLSON Ph.D.
2808 17TH AVE S
GRAND FORKS, ND 58201-4010
Phone number: 701-746-8376
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Mailing Address
Dr. KENNETH M CARLSON Ph.D.
2808 17TH AVE S
GRAND FORKS, ND 58201-4010
Phone number: 701-746-8376
Copy
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