BRUCE L CARLSON

BISMARCK, ND
NPI1508912288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1279)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
-- BRUCE L CARLSON LAC
101 E BROADWAY AVE
BISMARCK, ND 58501
Phone number: 701-222-0386
Mailing Address
-- BRUCE L CARLSON LAC
101 E BROADWAY AVE
BISMARCK, ND 58501
Phone number: 701-222-0386
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