Amy Patrice Kuusisto-Lathrop, MSW, LICSW
NPI #1275699381 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1275699381
- Entity Type
- Individual
- Name
- Amy Patrice Kuusisto-Lathrop, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Dec 31, 2006
- Last Updated
- Jan 18, 2023
Practice Location
- Address
- 6200 SHINGLE CREEK PKWY STE 350
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-2155
- Phone
- (763) 503-8560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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