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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUZANNE CLAIRE TUTTLE, LICSW

Active Sole Proprietor

SUZANNE CLAIRE TUTTLE, LICSW is a Clinical Social Worker healthcare provider located in HAM LAKE, Minnesota. NPI 1457088635 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · HAM LAKE, MN

Registration Details

NPI Number
1457088635
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2022 (4.0061393012833 yrs)
Last Updated
Aug 6, 2022
License
11132 (MN)
Sole Proprietor
Yes

Practice Information

Address
4326 176TH AVE. N.E.
HAM LAKE, MN, 55304
Browse MN providers · Browse ZIP 55304
Phone
6126445326
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in HAM LAKE, MN

Name Credential NPI
LYLE GENE ELENKIWICH MSW, LICSW 1649461245
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.