STACY MAE CARLSON

THIEF RIVER FALLS, MN
NPI1417446824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304338)
Enumeration Date2018-05-02
Last Update Date2018-05-02
Business Address
STACY MAE CARLSON
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701-2819
Phone number: 218-683-4318
Mailing Address
STACY MAE CARLSON
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701-2819
Phone number: 218-683-4318