Individual
LORI THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
814 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-2222
Mailing address
814 N 11TH ST, MONTEVIDEO, MN 56265-1629
(507) 276-2991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22702
MN
Other
Enumeration date
06/22/2015
Last updated
02/27/2025
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