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Contact Information

KATIE M NYSTROM, LICSW, MSW
320 EAST MAIN ST
CROSBY, MN56441
 Phone: 218-546-7000
 Fax: 218-546-4400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KATIE M NYSTROM · (Female)

NPI Number 1699355339
Status Active
Credentials LICSW, MSW
Entity Individual
Enumeration date 04/08/2021
Last updated 11/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 21668
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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