Whalio Doctors

NPI 1003213299

Nathan Foote, LICSW

Practitioner Social Worker Lake Elmo, MN

Practice location

Address
8550 Hudson Blvd N, Lake Elmo, MN 55042-5500
Phone
(651) 254-8580
Mailing address
1100 Glenwood Ave, Minneapolis, MN 55405-1430

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 21133 (MN)

Registry record

NPI
1003213299
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Dec 2014
Record last updated
28 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.