NPI | 1205066875 |
---|---|
Doing Business As | KEN SCHMITZ, LICSW |
Entity Type | Organization |
Authorized Contact | KEN W SCHMITZ Treasurer 651-659-0294 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 00099) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2009-07-17 |