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1376638155
CHARLES R CARLSON
LEXINGTON, KY
NPI
1376638155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KY 0656)
Enumeration Date
2006-10-04
Last Update Date
2012-03-13
Business Address
Dr. CHARLES R CARLSON PhD
800 ROSE ST
LEXINGTON, KY 40536-0297
Phone number: 859-323-5500
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Mailing Address
Dr. CHARLES R CARLSON PhD
800 ROSE ST D104
LEXINGTON, KY 40536-0297
Phone number: 859-323-5500
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