Individual
MARIKO ORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(952) 767-7222
Mailing address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(952) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25549
MN
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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