MR. True Jacob Thao, MSW
NPI #1457536278 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1457536278
- Entity Type
- Individual
- Name
- MR. True Jacob Thao, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Dec 31, 2007
- Last Updated
- Dec 31, 2007
Practice Location
- Address
- 6940 KEATS AVE S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-1311
- Phone
- (651) 247-3276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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