Individual
MASON RUSSELL NORDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
(651) 925-0427
Mailing address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
(651) 925-0427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29338
MN
Other
Enumeration date
10/06/2021
Last updated
10/03/2025
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