Individual
KATHRYN ANN TJEPKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
203 W CLARK ST, ALBERT LEA, MN 56007-2549
(507) 377-5453
(507) 377-5505
Mailing address
PO BOX 1246, ALBERT LEA, MN 56007-1246
(507) 377-5453
(507) 377-5505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05323
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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