Organization
INNER OUTFITTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MARY KACHER MSW (PSYCHOTHERAPIST)
(612) 874-8608
Entity
Organization
Contact information
Practice address
1409 WILLOW ST, SUITE 200, MINNEAPOLIS, MN 55403-2269
(612) 874-8608
(612) 874-8612
Mailing address
1409 WILLOW ST, SUITE 200, MINNEAPOLIS, MN 55403-2269
(612) 874-8608
(612) 874-8612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609932540
NPI INDIVIDUAL NUMBER
MN
Enumeration date
07/12/2010
Last updated
07/12/2010
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