Individual
NATHAN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
11141 ZEALAND AVE N, CHAMPLIN, MN 55316-3595
(763) 951-3091
(763) 951-3097
Mailing address
13315 207TH AVE NW, ELK RIVER, MN 55330-9096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19570
MN
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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