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Teresea Joann Carson, LMP
Specialist in Kelso, Washington
NPI 1720352156

Teresea Joann Carson is a Specialist based in Kelso, WA. Teresea Joann Carson practices in Kelso, WA and has the professional credentials of LMP. The NPI Number for Teresea Joann Carson is 1720352156 and holds a License No. MA00013581 (Washington).

The current practice location address for Teresea Joann Carson is 207 Allen St, Kelso, WA and can be reached out via phone at 360-575-9311.

Location: 207 Allen St, Kelso, WA, 98626-3403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720352156
Provider Name
Teresea Joann Carson
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
207 Allen St, Kelso, WA, 98626-3403
Phone Number
360-575-9311
Fax Number
Provider Enumeration Date
03/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 Allen St
City
Kelso
State
Washington
Zip
98626-3403
Phone Number
360-575-9311
Fax Number
person
Provider Business Mailing Address Details
Address
207 Allen St
City
Kelso
State
Washington
Zip
98626-3403
Phone Number
360-575-9311
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00013581 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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