Individual
MARIA ANGELICA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
900 AMERICAN BLVD E STE 134, BLOOMINGTON, MN 55420-1339
(651) 338-0913
Mailing address
1981 CROWN POINT DR, MENDOTA HEIGHTS, MN 55118-4203
(651) 338-0913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16155
MN
Other
Enumeration date
04/07/2010
Last updated
10/01/2019
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