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Organization
TENA ROETHLE
Active
Organization
TENA ROETHLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENA ROETHLE LICSW (OWNER/LICSW)
(507) 222-9230
Entity
Organization
Contact information
Practice address
400 WASHINGTON ST STE 229, NORTHFIELD, MN 55057-2027
(507) 951-8500
Mailing address
400 WASHINGTON ST STE 229, NORTHFIELD, MN 55057-2027
(507) 951-8500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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