Organization
CAROL JO OTTER LADD PSYCHOTHERAPY AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J LADD MSW.,LICSW., LSSW. (PSYCHOTHERAPIST/CONSULTANT)
(612) 554-8560
Entity
Organization
Contact information
Practice address
8317 PILLSBURY AVE S, BLOOMINGTON, MN 55420-2241
(612) 554-8560
Mailing address
8317 PILLSBURY AVE S, BLOOMINGTON, MN 55420-2241
(612) 554-8560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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