Individual
MALORY LYN KAITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
5101 OLSON MEMORIAL HWY STE 4003, GOLDEN VALLEY, MN 55422-5164
(612) 315-0019
(763) 595-7293
Mailing address
5101 OLSON MEMORIAL HWY STE 4003, GOLDEN VALLEY, MN 55422-5164
(612) 315-0019
(763) 595-7293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27274
MN
Other
Enumeration date
01/05/2021
Last updated
07/11/2023
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