Individual
KENNETH RAYMOND TRAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.I.C.S.W.
Contact information
Practice address
2050 SAINT CLAIR AVE, SUITE 1E, SAINT PAUL, MN 55105-1650
(612) 414-2533
Mailing address
1976 MONTREAL AVE, SAINT PAUL, MN 55116-2009
(612) 414-2533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15585
MN
Other
Enumeration date
11/15/2006
Last updated
08/30/2011
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