Individual
KIMBERLY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
14325 CORMORANT WAY, ROSEMOUNT, MN 55068-7113
(612) 532-8455
Mailing address
14325 CORMORANT WAY, ROSEMOUNT, MN 55068-7113
(612) 532-8455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00763
MN
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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