Individual
COLLEEN NOTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 BRANDL DR NW, BLACKDUCK, MN 56630-2182
(218) 835-8793
Mailing address
419 BRANDL DR NW, BLACKDUCK, MN 56630-2182
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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