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Search › Minnesota › 1041C0700X

Dale Bothun, LICSW

NPI 1881221174 · on the registry since 2020

Practice

Address
570 Asbury St Ste 300
Saint Paul, MN 55104
Phone
(651) 644-8515
Fax
(651) 644-3451
Organisation at this address
Access Surgical
Marna Reed, Ma, Lp
Practical Therapy Llc
Mn Care Transports Llc
Project Pathfinder Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota