Individual
MARTHA JEAN OSTERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
621 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55408-2949
(612) 822-3417
Mailing address
621 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55408-2949
(612) 822-3417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16D66OS
BLUE CROSS&BLUE SHIELD
MN
Enumeration date
01/20/2007
Last updated
07/08/2007
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