Katie Michelle Nystrom, LICSW, MSW

NPI #1699355339 in Crosby, Minnesota

Provider Information

NPI Number: 1699355339
Entity Type: Individual
Name: Katie Michelle Nystrom, LICSW, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW, MSW
Enumeration Date: Apr 8, 2021
Last Updated: Nov 29, 2021

Practice Location

Address: 320 EAST MAIN ST
City: Crosby
State: Minnesota
ZIP Code: 56441
Phone: (218) 546-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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