Individual
LAUREN ELIZABETH SOBOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 315-7460
Mailing address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
27061
MN
1041C0700X
Clinical Social Worker
Primary
27061
MN
Other
Enumeration date
12/02/2020
Last updated
12/21/2021
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