Organization
CIRCLE BACK PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHERINE UTZ LICSW (OWNER)
(507) 319-5377
Entity
Organization
Contact information
Practice address
2637 27TH AVE S STE 16, MINNEAPOLIS, MN 55406-2795
(507) 319-5377
Mailing address
1308 POWDERHORN TERRACE, APT 206, MINNEAPOLIS, MN 55407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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