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Organization
NATHAN & ASSOCIATES, LLC
Active
Organization
NATHAN & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN RAUSCHENDORFER (MSW, LICSW/OWNER)
(612) 708-7712
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N STE 435, ROSEVILLE, MN 55113-5023
(612) 708-7712
Mailing address
2434 HAZELWOOD ST, MAPLEWOOD, MN 55109-2028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
17535
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
TAXONOMY CODE
MN
Enumeration date
09/15/2017
Last updated
09/20/2017
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