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1912362278
CARL CARLSON
OAKLAND, CA
NPI
1912362278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
Mr. CARL CARLSON
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800
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Mailing Address
Mr. CARL CARLSON
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800
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