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1952430159
JEFFREY JOHN CARLSON
SAGINAW, MI
NPI
1952430159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY JOHN CARLSON BA, CAC I
1321 S FAYETTE ST
SAGINAW, MI 48602-1447
Phone number: 989-792-8000
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Mailing Address
Mr. JEFFREY JOHN CARLSON BA, CAC I
87 BELLWOOD DR
SWARTZ CREEK, MI 48473-8284
Phone number: 810-635-4510
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