Individual
KELLY KNAEBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
100 STATE AVE, FARIBAULT, MN 55021-6337
(507) 334-3921
Mailing address
100 STATE AVE, FARIBAULT, MN 55021-6337
(507) 334-3921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
16642
MN
1041C0700X
Clinical Social Worker
Primary
16642
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16642
MN BOARD OF SOCIAL WORKERS
MN
Enumeration date
06/01/2009
Last updated
06/23/2025
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