Todd Borstad LICSW

NPI 1033353669 - Social Worker - 1041C0700X

NPI Details
NPI 1033353669
Gender Male
Enumeration Date 04/27/2009
Last Updated 04/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3450 O'LEARY LANE
EAGAN MN, 55123, US
Phone (651) 454-0114
Fax (651) 454-3492
Business Location
3450 OLEARY LN
EAGAN MN, 55123-2340, US
Phone (651) 454-0114
Fax (651) 454-9492
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 17389
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According to our database, Mr. Todd Borstad LICSW NPI is 1033353669, taxonomy code is 1041C0700X and license number is 17389, license state is located at Minnesota. Todd Borstad LICSW physically located at 3450 O'leary Lane, Eagan MN, 55123. NPI Number Todd Borstad LICSW has the Individual type.

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1033353669 NPI number is provided on an as is basis without warranty of any kind. 1033353669 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Borstad LICSW are for informational purposes only.