Kuusisto-Lathrop, Amy Patrice

Kuusisto-Lathrop, Amy Patrice is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Ste 350 , Brooklyn Center MN 55430-2155. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kuusisto-Lathrop, Amy Patrice can be contacted via phone (763) 503-8560.

Contact Information

Primary practice address
6200 Shingle Creek Pkwy Ste 350 Brooklyn Center MN 55430-2155
Phone: (763) 503-8560
Fax: (763) 503-8563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10798 Minnesota

Profile Details

NPI number 1275699381
LBN Legal business name Kuusisto-Lathrop, Amy Patrice
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Jan 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275699381 NPPES
Minnesota MEDICAID 29155880

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