Individual
KIMBERLY LOVEJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
16201 90TH ST NE, 200, OTSEGO, MN 55330-7463
(763) 746-9492
(763) 746-3685
Mailing address
1900 SILVER LAKE RD NW, 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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