SUSANNE ETHEL HOLTQUIST

BAXTER, MN
NPI1497773386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  116589)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
-- SUSANNE ETHEL HOLTQUIST MSW, LICSW
13021 EVERGREEN DR
BAXTER, MN 56425-7439
Phone number: 218-829-7456
Mailing Address
-- SUSANNE ETHEL HOLTQUIST MSW, LICSW
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9253