Individual
NANCY MARIE KALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
202 1ST ST S, MONTGOMERY, MN 56069-1602
(952) 303-9585
Mailing address
13479 CARMODY DR, EDEN PRAIRIE, MN 55344-6718
(612) 250-0075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300369
MN
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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