Collin Ross Backowski

NPI #1700640695 in Fort Ripley, Minnesota

Provider Information

NPI Number: 1700640695
Entity Type: Individual
Name: Collin Ross Backowski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 12, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 26297 139TH AVE
City: Fort Ripley
State: Minnesota
ZIP Code: 56449-2060
Phone: (320) 630-7967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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