Individual
KATIE LYNN UBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 PARK GLEN RD STE 450, MINNEAPOLIS, MN 55416-5190
(952) 444-9744
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27676
—
MN
Enumeration date
01/06/2022
Last updated
06/27/2024
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