Individual
MS. KARA MARILYN KOTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-5225
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
25054
MN
1041C0700X
Clinical Social Worker
Primary
25054
MN
Other
Enumeration date
12/16/2021
Last updated
10/12/2023
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