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Contact Information

CYNTHIA A ROLLO CARLSON, LICSW, LCSW,LADC
310 RAILROAD AVE
WALKER, MN56484
 Phone: 218-675-9170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CYNTHIA A ROLLO CARLSON · (Female)

NPI # 1609450428
Status Active
Credentials LICSW, LCSW,LADC
Entity Individual
Enumeration date 05/07/2021
Last updated 01/16/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • HI License # LCSW-3911
  • MN License # 11704
  • MN License # 301020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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