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1699387092
MICAH KEVIN CARLSON
WATSONVILLE, CA
NPI
1699387092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 101756)
Enumeration Date
2020-08-18
Last Update Date
2024-07-19
Business Address
MICAH KEVIN CARLSON LCSW
180 WESTGATE DR STE 340
WATSONVILLE, CA 95076-2490
Phone number: 831-768-6736
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Mailing Address
MICAH KEVIN CARLSON LCSW
3785 VIA NONA MARIE STE 108
CARMEL, CA 93923-8637
Phone number: 951-743-4283
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