MICHAEL JOHN CARLSON

BLOOMINGTON, IL
NPI1780723254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- MICHAEL JOHN CARLSON
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
-- MICHAEL JOHN CARLSON
801 N MCLEAN ST APT. #6
BLOOMINGTON, IL 61701-3170
Phone number: 309-287-1276
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