Individual
MR. COLE ANTHONY BUCHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W
Contact information
Practice address
2385 ARIEL ST N, MAPLEWOOD, MN 55109
(651) 528-6169
(651) 528-6583
Mailing address
4201 EXCELSIOR BLVD, MINNEAPOLIS, MN 55416-4728
(952) 933-8900
(952) 945-9536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16129
MN
Other
Enumeration date
06/09/2011
Last updated
05/18/2018
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