Organization
KANDEE KUBAT TIMMERMAN, MSW, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDEE KUBAT TIMMERMAN LICSW (THERAPIST)
(612) 251-1753
Entity
Organization
Contact information
Practice address
745 GERMAIN ST, SAINT PAUL, MN 55106-4245
(612) 251-1753
Mailing address
745 GERMAIN ST, SAINT PAUL, MN 55106-4245
(612) 251-1753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15043
MN
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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