Individual
KRISTINE M LYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15821
MN
101YM0800X
Mental Health Counselor
LW60312246
WA
104100000X
Social Worker
Primary
15821
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2007
Last updated
05/30/2023
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