Individual
DOROTHY GRACE WEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Mailing address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/17/2022
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