Nicole Marie Thorsten
Social Worker, Clinical in Roseville, MN. Individual provider (NPI-1).
NPI number1629521950
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1629521950
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Thorsten
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2016
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | 23698 | MN |
Other names
- Nicole Marie Lach (Former Name)
Practice location
2589 Hamline Ave N Ste CRoseville, MN 55113-3185
Phone 651-330-6205
Mailing address
4476 102nd Ln NeCircle Pines, MN 55014-1897
Phone 763-347-2193
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All 83 Clinical Social Worker providers in Roseville · All 1,752 providers in Roseville
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