Individual
MS. KIM HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
(952) 496-8155
(952) 496-8355
Mailing address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
843
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642058300
—
MN
Enumeration date
07/13/2005
Last updated
07/20/2010
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