Troy David Otterson MSW, LICSW

NPI 1942365887 - Social Worker - 1041C0700X

NPI Details
NPI 1942365887
Gender Male
Enumeration Date 12/22/2006
Last Updated 02/18/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
324 W SUPERIOR ST
STE 600
DULUTH MN, 55802-1701, US
Phone (218) 723-8153
Fax (218) 722-7625
Business Location
324 W SUPERIOR ST
STE 600
DULUTH MN, 55802-1701, US
Phone (218) 723-8153
Fax (218) 722-7625
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 18201
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According to our database, Troy David Otterson MSW, LICSW NPI is 1942365887, taxonomy code is 1041C0700X and license number is 18201, license state is located at Minnesota. Troy David Otterson MSW, LICSW physically located at 324 W Superior St, Duluth MN, 55802-1701. NPI Number Troy David Otterson MSW, LICSW has the Individual type.

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1942365887 NPI number is provided on an as is basis without warranty of any kind. 1942365887 is maintained by the National Plan & Provider Enumeration System. The contents of Troy David Otterson MSW, LICSW are for informational purposes only.