Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ROSE NETTLETON, LICSW
ActiveMARY ROSE NETTLETON, LICSW is a Social Worker healthcare provider located in FRIDLEY, Minnesota. NPI 1073611729 is currently active in the NPPES registry. Verify at CMS.
Social Worker · FRIDLEY, MN
Registration Details
- NPI Number
- 1073611729
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.872616652748 yrs)
- Last Updated
- Jul 8, 2007
- License
-
10269 (MN)
Practice Information
- Address
-
7362 UNIVERSITY AVE NESUITE 209FRIDLEY, MN, 554323142Browse MN providers · Browse ZIP 55432
- Phone
- 6128254407
- Fax
- 6128250768
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| MR. ANTHONY WARREN HUNNIUTT | LSW LAOC LICENSED SO | 1114096724 |
| HASSAN ALI | LICSW | 1568109916 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.