Individual
KARYN MARIE ERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(763) 350-6371
(763) 263-5927
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(763) 350-6371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16072
MN
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680927800
—
MN
Enumeration date
12/07/2005
Last updated
01/29/2018
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