Katherine Ice, LICSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1073933859
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1073933859
- Entity type
- Individual (NPI-1)
- Name
- Katherine Ice
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2014
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21054 | MN | Yes |
Other names
- Katherine Rogers (Former Name)
Practice location
1100 Glenwood AveMinneapolis, MN 55405-1430
Phone 612-871-1454 · Fax 612-871-1505
Mailing address
2430 Nicollet Ave2430 Nicollet Ave South
Minneapolis, MN 55404-3461
Phone 612-871-1454 · Fax 612-871-1505
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