Individual
KATIE DUCKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
(612) 223-8898
Mailing address
4425 ZANE AVE N, CRYSTAL, MN 55422-1059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
46700
MN
1041C0700X
Clinical Social Worker
Primary
26539
—
Other
Enumeration date
05/19/2017
Last updated
11/12/2021
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