Individual
NATHAN FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
(612) 871-1505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21133
MN
Other
Enumeration date
12/03/2014
Last updated
10/28/2024
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