Individual
KATHERINE ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
(612) 871-1505
Mailing address
2430 NICOLLET AVE, 2430 NICOLLET AVE SOUTH, MINNEAPOLIS, MN 55404-3461
(612) 871-1454
(612) 871-1505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21054
MN
Other
Enumeration date
04/21/2014
Last updated
06/15/2020
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