Doctor Name: | MRS. MARIAN JOSEPHINE TRAUTMANN |
NPI Number: | 1669777900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSE, LICSW |
License Number: | 8426 |
Business Practice Address: | 13637 60th St Sw Cokato, MN - 553214210 |
Business Phone Number: | 3202862992 |
Business Fax Number: | 3202865140 |
Mailing Address: | 13637 60th St Sw, COKATO |
State: | MN |
Postal Code: | 553214210 |
Phone Number: | 3202862992 |
Fax Number: | 3202865140 |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 8426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |