Individual
KIMBERLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(952) 826-8424
Mailing address
150 GEBHARDT RD, BLACK RIVER FALLS, WI 54615-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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