Individual
AMY IRENE THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
1240 ROBINHOOD LN SE, OWATONNA, MN 55060-4600
(507) 316-1341
Mailing address
1240 ROBINHOOD LN SE, OWATONNA, MN 55060-4600
(507) 316-1341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303509
MN
1041C0700X
Clinical Social Worker
Primary
28304
MN
Other
Enumeration date
02/07/2013
Last updated
04/08/2022
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