Individual
THOMAS K BRAATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
948 PROCTOR AVE NW, ELK RIVER, MN 55330-2417
(763) 241-3400
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
(320) 650-1528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6518
MN
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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