Individual
MR. BRUCE CASTLE ATHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W.
Contact information
Practice address
MENTAL HEALTH COLLECTIVE, 3548 BRYANT AVE. S., MINNEAPOLIS, MN 55408
(612) 822-8227
(612) 825-4204
Mailing address
6357 JOSEPHINE AVE, EDINA, MN 55439-1420
(952) 829-7008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07362
MN
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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