MR. Kyle Gregory Cloutier, LICSW
NPI #1871646216 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1871646216
- Entity Type
- Individual
- Name
- MR. Kyle Gregory Cloutier, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 1120 CENTRE POINTE DR STE 100
- Address 2
- #100
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1275
- Phone
- (952) 334-8278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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