Katie Ducklow, MSW, LICSW

NPI #1164959292 in St Louis Park, Minnesota

Provider Information

NPI Number: 1164959292
Entity Type: Individual
Name: Katie Ducklow, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: May 19, 2017
Last Updated: Nov 12, 2021

Practice Location

Address: 7601 WAYZATA BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55426-1626
Phone: (612) 223-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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