Glen Todd MSW, LICSW

NPI 1356475552 - Social Worker - 1041C0700X

NPI Details
NPI 1356475552
Gender Male
Enumeration Date 03/16/2007
Last Updated 07/22/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4405 42ND AVE S
MINNEAPOLIS MN, 55406-4043, US
Phone (612) 743-2981
Fax
Business Location
4405 42ND AVE S
MINNEAPOLIS MN, 55406-4043, US
Phone (612) 743-2981
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Glen Todd MSW, LICSW NPI is 1356475552, taxonomy code is 1041C0700X Glen Todd MSW, LICSW physically located at 4405 42nd Ave S, Minneapolis MN, 55406-4043. NPI Number Glen Todd MSW, LICSW has the Individual type.

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1356475552 NPI number is provided on an as is basis without warranty of any kind. 1356475552 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Todd MSW, LICSW are for informational purposes only.