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Individual

KATE R. MAKINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LGSW, LADC

Contact information

Practice address
2086 RIDGEWAY DR, GRAND RAPIDS, MN 55744-4421
(218) 327-9944
(218) 327-9375
Mailing address
2086 RIDGEWAY DR, GRAND RAPIDS, MN 55744-4421
(218) 327-9944
(218) 327-9375

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303991
MN
104100000X
Social Worker
26388
MN

Other

Enumeration date
07/06/2017
Last updated
07/21/2022
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