Most Relevant Information
Provider Data
| NPI Number: | 1003213299 |
| Provider Name: | NATHAN FOOTE LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 21133 |
Most Important Dates
| Enumeration Date: | 12/03/2014 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
8550 HUDSON BLVD N
LAKE ELMO
MN
550425500
Practice Location Phone/Fax
| Phone: | 6512548580 |
| Fax: |
Provider Mailing Location
1100 GLENWOOD AVE
MINNEAPOLIS
MN
554051430
Provider Mailing Phone/Fax
| Phone: | 6128711454 |
| Fax: | 6128711505 |